Ethan Smith, LPC

NPI #1043884497 in Princeton, Illinois

Provider Information

NPI Number: 1043884497
Entity Type: Individual
Name: Ethan Smith, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: May 19, 2021
Last Updated: May 19, 2021

Practice Location

Address: 535 ELM PL STE 7
City: Princeton
State: Illinois
ZIP Code: 61356-1458
Phone: (815) 872-2943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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