| Ethan Smith, LPC | |
|
535 Elm Pl Ste 7, Princeton, IL 61356-1458 | |
| (815) 872-2943 | |
| (815) 915-8756 |
| Full Name | Ethan Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 535 Elm Pl Ste 7, Princeton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043884497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178016281 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Smith, LPC 535 Elm Pl Ste 7, Princeton, IL 61356-1458 Ph: (815) 872-2943 | Ethan Smith, LPC 535 Elm Pl Ste 7, Princeton, IL 61356-1458 Ph: (815) 872-2943 |
Nancy A Carper, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 N Main St, Princeton, IL 61356 Phone: 815-872-2100 Fax: 363-242-3128 | |
Angella R Hughes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N Main St, Princeton, IL 61356 Phone: 815-878-3715 | |
Rachel Dose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Elm Pl Ste 7, Princeton, IL 61356 Phone: 815-872-2943 | |
Shirley M Borys, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 S Gosse Blvd, Box 535, Princeton, IL 61356 Phone: 815-875-4548 Fax: 815-875-8602 | |
Nicolas Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Elm Pl Ste 7, Princeton, IL 61356 Phone: 815-872-2943 | |
Lisa Lau, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Elm Pl Ste 7, Princeton, IL 61356 Phone: 815-872-2943 |