Individual provider · Type 1 NPI
Jack Smith, L.C.P.C.
Professional Counselor · Orland Park, IL
NPI number
1710191564
Active
Practice location
15040 S Ravinia Ave Ste 44
Orland Park, IL 60462-3173
Fax (708) 226-5810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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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.