Individual
MR. GERALD LAWRENCE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1522 BATAAN DR APT 2W, BROADVIEW, IL 60155-3194
(773) 807-5783
Mailing address
1522 BATAAN DR APT 2W, BROADVIEW, IL 60155-3194
(773) 807-5783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178021314
IL
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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