Kd Smith is a Counselor based in Centralia, IL. Kd Smith practices in Centralia, IL. The NPI Number for Kd Smith is 1235683855 and holds a License No. (Illinois).
The current practice location address for Kd Smith is 904 East Martin Luther King, Dr, Centralia, IL and can be reached out via phone at 618-533-1391.
Location: 904 East Martin Luther King, Dr, Centralia, IL, 62870
Provider Profile Details
NPI Number
1235683855
Provider Name
Kd Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 East Martin Luther King, Dr, Centralia, IL, 62870
Phone Number
618-533-1391
Fax Number
Provider Enumeration Date
08/11/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370915481007 | 05 | IL |
Provider Business Practice Location Address Details
Address
904 East Martin Luther King, Dr
City
State
Zip
62870
Phone Number
618-533-1391
Fax Number
Provider Business Mailing Address Details
Address
904 East Martin Luther King, Dr
City
State
Zip
62870
Phone Number
618-533-1391
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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