Individual provider · Type 1 NPI
Matthew Smith, LCPC
Professional Counselor · Chicago, IL
NPI number
1053708974
Active
Practice location
564 W Randolph St, 2nd Floor
Chicago, IL 60661-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.009590 (IL) |
Professional Counselor: Definition to come...
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About NPI 1053708974
Matthew Smith, LCPC's National Provider Identifier is 1053708974, issued on Apr 17, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Apr 17, 2015.