Individual
DARIONNE AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1710 CORPORATE XING STE 4, O FALLON, IL 62269-3741
(618) 226-5155
Mailing address
8441 TREYBROOKE PL, O FALLON, IL 62269-4132
(618) 972-1568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178017889
IL
101YP2500X
Professional Counselor
Primary
180.015825
IL
Other
Enumeration date
05/01/2023
Last updated
12/26/2024
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