| Jesse Smith-fulia, LCSW | |
|
300 Red Bud Ln, Vienna, IL 62995-1792 | |
| (618) 658-3079 | |
| Not Available |
| Full Name | Jesse Smith-fulia |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 300 Red Bud Ln, Vienna, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144018847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149029200 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Smith-fulia, LCSW 300 Red Bud Ln, Vienna, IL 62995-1792 Ph: (618) 658-3079 | Jesse Smith-fulia, LCSW 300 Red Bud Ln, Vienna, IL 62995-1792 Ph: (618) 658-3079 |
Kerie Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 E Vine St, Vienna, IL 62995 Phone: 618-658-3079 | |
Raelyn Melton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Red Bud Ln, Vienna, IL 62995 Phone: 618-658-3079 Fax: 618-658-2759 | |
Emily Middleton, LCWS, MSW, QMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Mrs. Connie Larae Duncan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Nikole Justice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6665 State Route 146 E, Vienna, IL 62995 Phone: 618-658-8331 | |
Martha Jane Crawford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine, Vienna, IL 62995 Phone: 918-658-2611 Fax: 618-658-2759 |