Individual provider · Type 1 NPI

Laura Marie Smith, BA; MHP

Mental Health Counselor · Mount Carroll, IL

NPI number 1609144054 Active

Practice location

1122 Healthcare Dr
Mount Carroll, IL 61053-1461

Fax (815) 244-3074

Mailing address

910 N Washington Ave
Mount Carroll, IL 61053-9468

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609144054

Laura Marie Smith, BA; MHP's National Provider Identifier is 1609144054, issued on Dec 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Carroll, IL. The record was last updated on Dec 13, 2011.