IndividualActive
Amanda Smock
NPI 1356933774 · Counselor · Carbondale, IL
Provider details
- NPI number
- 1356933774
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2411 S Illinois Ave
Carbondale, IL 62903-5913
Phone: (618) 615-9754
Approximate (ZIP-level) locationGet directions
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.