Max Smith, | |
103 W Main St Ste 6, Oblong, IL 62449-1165 | |
(618) 636-0719 | |
Not Available |
Full Name | Max Smith |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 103 W Main St Ste 6, Oblong, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548933146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178017178 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180016323 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Max Smith, 103 W Main St Ste 6, Oblong, IL 62449-1165 Ph: () - | Max Smith, 103 W Main St Ste 6, Oblong, IL 62449-1165 Ph: (618) 636-0719 |
Mrs. Jodi L Wiman, MA Counselor Medicare: Medicare Enrolled Practice Location: 103 W Main St, Suite 5, Oblong, IL 62449 Phone: 618-592-3116 Fax: 618-592-3117 | |
Mrs. Marcia Thorsen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 S Garfield St, Oblong, IL 62449 Phone: 618-769-2185 |