Individual
MRS. FAITH ANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 BROADWAY ST STE I, MOUNT VERNON, IL 62864-2973
(618) 316-7001
Mailing address
400 S SCOTT AVE, NEWTON, IL 62448-1656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018855
IL
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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