Individual
MRS. CAPRICE STANCIL-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
2701 BROOKMEADOW DR, BELLEVILLE, IL 62221-7116
(618) 593-4264
Mailing address
2701 BROOKMEADOW DR, BELLEVILLE, IL 62221-7116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007438
IL
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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