Matthew Smith LCPC

NPI 1053708974 - Counselor - 101YP2500X

NPI Details
NPI 1053708974
Gender Male
Enumeration Date 04/17/2015
Last Updated 04/17/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
564 W RANDOLPH ST
2ND FLOOR
CHICAGO IL, 60661-2218, US
Phone (312) 804-3451
Fax
Business Location
564 W RANDOLPH ST
2ND FLOOR
CHICAGO IL, 60661-2218, US
Phone (312) 804-3451
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180.009590
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According to our database, Matthew Smith LCPC NPI is 1053708974, taxonomy code is 101YP2500X and license number is 180.009590, license state is located at Illinois. Matthew Smith LCPC physically located at 564 W Randolph St, Chicago IL, 60661-2218. NPI Number Matthew Smith LCPC has the Individual type.

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1053708974 NPI number is provided on an as is basis without warranty of any kind. 1053708974 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Smith LCPC are for informational purposes only.