Individual
JACQUELINE PEARSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18640 W. BELVIDERE ROAD, GRAYSLAKE, IL 60030
(847) 548-6000
(847) 587-3100
Mailing address
2640 NISH RD, CRYSTAL LAKE, IL 60012-1509
(815) 557-6563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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