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Organization
INTERNATIONAL BEHAVIORAL HEALTH
Active
Organization
INTERNATIONAL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SMITH IMFT, LCSW (DIRECTOR)
(312) 554-9934
Entity
Organization
Contact information
Practice address
10448 S PULASKI RD, SUITE 4, OAK LAWN, IL 60453-4895
(312) 834-3697
Mailing address
1550 E 61ST ST, 1N, CHICAGO, IL 60637-2973
(312) 554-9934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20992
IL
103TC0700X
Clinical Psychologist
180007270
IL
1041C0700X
Clinical Social Worker
Primary
149014748
IL
106H00000X
Marriage & Family Therapist
IMFT-125
GA
Other
Enumeration date
09/09/2011
Last updated
08/26/2016
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