Amanda Smith
NPI #1174987200 in Forest Park, Illinois
Provider Information
- NPI Number
- 1174987200
- Entity Type
- Individual
- Name
- Amanda Smith
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 5, 2016
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 8311 ROOSEVELT RD
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2529
- Phone
- (708) 209-2291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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