MRS. Faith Anna Smith

NPI #1548976558 in Mount Vernon, Illinois

Provider Information

NPI Number: 1548976558
Entity Type: Individual
Name: MRS. Faith Anna Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 2020 BROADWAY ST STE I
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2973
Phone: (618) 316-7001

Specialties & Taxonomy Codes

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

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