| Doctor Name: | MRS. AMBER MICHELLE SMITH |
| NPI Number: | 1013033406 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LCPC |
| License Number: | |
| Business Practice Address: | 802 N 8th St Vandalia, IL - 624711756 |
| Business Phone Number: | 6182931731 |
| Business Fax Number: | |
| Mailing Address: | 4545 E 1000th Ave, ALTAMONT |
| State: | IL |
| Postal Code: | 624113414 |
| Phone Number: | 6184835749 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |