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Search › Illinois › 1041C0700X

Jesse Smith-Fulia, LCSW

NPI 1144018847 · on the registry since 2025

Practice

Address
300 Red Bud Ln
Vienna, IL 62995
Phone
(618) 658-3079
Organisation at this address
Arrowleaf
Arrowleaf
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois