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Nicole Smith
Counselor in Jerseyville, Illinois
NPI 1922866565

Nicole Smith is a Counselor based in West Frankfort, IL. Nicole Smith practices in Jerseyville, IL. The NPI Number for Nicole Smith is 1922866565 and holds a License No. (Illinois).

The current practice location address for Nicole Smith is 118 Krause Dr, Jerseyville, IL and can be reached out via phone at 618-462-2331 and via fax at 618-462-2504.

Location: 118 Krause Dr, Jerseyville, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922866565
Provider Name
Nicole Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 Krause Dr, Jerseyville, IL, 62896-2210
Phone Number
618-462-2331
Fax Number
618-462-2504
Provider Enumeration Date
03/08/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
118 Krause Dr
City
Jerseyville
State
Illinois
Zip
62052-3610
Phone Number
618-462-2331
Fax Number
618-462-2504
person
Provider Business Mailing Address Details
Address
118 Krause Dr
City
Jerseyville
State
Illinois
Zip
62052-3610
Phone Number
618-462-2331
Fax Number
618-462-2504
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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