Individual
ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
42 164TH ST, CALUMET CITY, IL 60409-6008
(312) 388-1505
Mailing address
42 164TH ST, CALUMET CITY, IL 60409-6008
(312) 388-1505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009825
IL
Other
Enumeration date
12/28/2015
Last updated
11/07/2025
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