National Provider Identifier

Andrea Smith

Andrea Smith is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Pekin, IL and a listed phone number of (309) 347-5579.

NPI 1063095388Pekin, ILAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated May 19, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1063095388
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
May 04, 2021
Last Updated
May 19, 2021

Practice Location

  • 3248 Vandever Ave
  • Pekin, IL 61554-6274

Phone: (309) 347-5579

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Andrea Smith is a Pekin, Illinois counselor whose federal provider record identifies her work in addiction and substance-use counseling. The same record lists Andrea Pepper as a former professional name and connects her practice record with Tazwood Mental Health Center’s domain, helping distinguish her from other providers with the same name.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1063095388
Entity Type
Individual
Last Name
Smith
First Name
Andrea
Provider Other Last Name
Pepper
Provider Other First Name
Andrea
Provider Other Last Name Type Code
1
Mailing Street Address
3248 Vandever Ave
Mailing City
Pekin
Mailing State
IL
Mailing ZIP Code
61554-6274
Mailing Country
US
Mailing Phone
(309) 347-5579
Practice Street Address
3248 Vandever Ave
Practice City
Pekin
Practice State
IL
Practice ZIP Code
61554-6274
Practice Country
US
Practice Phone
(309) 347-5579
Enumeration Date
May 04, 2021
Last Updated
May 19, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 19, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
101YA0400X (Taxonomy)