Individual provider · Type 1 NPI

Amanda Smith

Mental Health Counselor · Forest Park, IL

NPI number 1174987200 Active

Practice location

8311 Roosevelt Rd
Forest Park, IL 60130-2529

Call (708) 209-2291 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174987200

Amanda Smith's National Provider Identifier is 1174987200, issued on Apr 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Park, IL. The record was last updated on Apr 5, 2016.