Individual
LILLIAN BONNER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1435 BALCH RD UNIT 5105, MADISON, AL 35757-6375
(601) 672-4675
Mailing address
1435 BALCH RD UNIT 5105, MADISON, AL 35757-6375
(601) 672-4675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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