Individual
MRS. AMIE RENAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1100 BEECH ST, NORMAL, IL 61761-1493
(309) 613-3173
Mailing address
409 S HARRIS ST, TREMONT, IL 61568-8143
(309) 613-3173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003692
IL
Other
Enumeration date
03/20/2013
Last updated
09/07/2021
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