Smith, Kristin

Smith, Kristin is an individual health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Kristin can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 757-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 178012651 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178012651 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-012576 Illinois

Profile Details

NPI number 1427523356
LBN Legal business name Smith, Kristin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2018
Last updated Feb 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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