Smith, Kirston M

Smith, Kirston M is an individual health care provider with primary practice located at 210 Avenue C , Danville IL 61832-5410. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Kirston M can be contacted via phone (217) 442-3200.

Contact Information

Primary practice address
210 Avenue C Danville IL 61832-5410
Phone: (217) 442-3200
Fax: (217) 442-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.019025 Illinois

Profile Details

NPI number 1346451440
LBN Legal business name Smith, Kirston M
Credentials LCSW, LPHA
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 17th, 2018 - 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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