Individual provider · Type 1 NPI

Jack Smith, L.C.P.C.

Professional Counselor · Orland Park, IL

NPI number 1710191564 Active

About NPI 1710191564

Jack Smith, L.C.P.C.'s National Provider Identifier is 1710191564, issued on May 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orland Park, IL. The record was last updated on Jul 8, 2007.