Individual
BARBARETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2416 E WASHINGTON ST STE A2, BLOOMINGTON, IL 61704-1608
(309) 838-9092
Mailing address
2416 E WASHINGTON ST STE A2, BLOOMINGTON, IL 61704-1608
(309) 838-9092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178006257
IL
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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