Amanda Smock
Amanda Smock is a Counselor in Carbondale, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2411 S Illinois AveCarbondale, IL 62903-5913
Phone: (618) 615-9754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1356933774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 8, 2021 |
| Last updated in NPPES | February 8, 2021 |
| Certification date | February 8, 2021 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |
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Breanna Thomas
2411 S Illinois Ave, Carbondale, IL 62903-5913 · (618) 615-9754