Individual provider · Type 1 NPI

Casey Smith, BA

Mental Health Counselor · Mount Carmel, IL

NPI number 1396148045 Active

Practice location

602 E 5th St
Mount Carmel, IL 62863-2152

Call (618) 262-7473 Map

Fax (618) 262-8810

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396148045

Casey Smith, BA's National Provider Identifier is 1396148045, issued on Oct 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Carmel, IL. The record was last updated on Oct 8, 2014.