Individual
MR. GEORGE ALVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC, CSADC
Contact information
Practice address
50 NORTHGATE IND. DR, GRANITE CITY, IL 62040
(618) 877-4420
(618) 877-0904
Mailing address
3149 FEHLING RD, GRANITE CITY, IL 62040-3633
(618) 452-3032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.003531
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
180-003531
IL
101YM0800X
Mental Health Counselor
180-003531
IL
Other
Enumeration date
03/26/2007
Last updated
11/14/2019
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