Individual
MRS. ELIZABETH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
200 S FRONTAGE RD STE 320, BURR RIDGE, IL 60527-6953
(630) 337-8006
Mailing address
200 S FRONTAGE RD STE 320, BURR RIDGE, IL 60527-6953
(630) 337-8006
(630) 537-1241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178015418
IL
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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