Individual
MRS. JAIMEE LEEANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 DEVONSHIRE DR STE B16-18, CHAMPAIGN, IL 61820-7337
(217) 273-1358
Mailing address
701 DEVONSHIRE DR STE B16-18, CHAMPAIGN, IL 61820-7337
(217) 273-1358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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