Individual
ANGELA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
640 PIERCE BLVD STE 200, O FALLON, IL 62269-2584
(618) 491-9133
Mailing address
640 PIERCE BLVD STE 200, O FALLON, IL 62269-2584
(618) 491-9133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.009963
IL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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