Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(855) 740-1921
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3494
IL
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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