Individual
DEBRA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Mailing address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178011918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178011918
LICENSED PROFESSIONAL COUNSELOR
IL
Enumeration date
10/21/2016
Last updated
10/21/2016
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