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NPI Profile for KRISTY SMITH in BOURBONNAIS, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X |
| NPI Number | 1598375552 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 08/05/2020 | |
| Last updated | 03/15/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KRISTY SMITH
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KRISTY SMITH, LCPC