Individual provider · Type 1 NPI

Wanda Smith

Mental Health Counselor · Evanston, IL

NPI number 1508593203 Active

Practice location

355 Ridge Ave Fl 2
Evanston, IL 60202-3328

Mailing address

7600 N Sheridan Rd Apt 308
Chicago, IL 60626-1447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNONE

Mental Health Counselor: Definition to come...

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About NPI 1508593203

Wanda Smith's National Provider Identifier is 1508593203, issued on Aug 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evanston, IL. The record was last updated on Aug 3, 2022.