Individual provider · Type 1 NPI

Gerald Lawrence Smith Jr., LPC

Mental Health Counselor · Broadview, IL

NPI number 1043008048 Active

Practice location

1522 Bataan Dr Apt 2W
Broadview, IL 60155-3194

Call (773) 807-5783 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178021314 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1043008048

Gerald Lawrence Smith Jr., LPC's National Provider Identifier is 1043008048, issued on Apr 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broadview, IL. The record was last updated on Apr 29, 2025.