Individual provider · Type 1 NPI

Corey Daniel Smith

Professional Counselor · Crystal Lake, IL

NPI number 1578101044 Active

Practice location

800 S Mchenry Ave
Crystal Lake, IL 60014-7487

Call (630) 335-9408 Map

Mailing address

1681 Rockport Rd
Hampshire, IL 60140-9062

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X149.021854 (IL)

Professional Counselor: Definition to come...

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About NPI 1578101044

Corey Daniel Smith's National Provider Identifier is 1578101044, issued on Dec 16, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crystal Lake, IL. The record was last updated on Dec 16, 2019.