Individual
MS. JAN C. SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
811 W JOHN ST, YORKVILLE, IL 60560-9249
(630) 553-9100
(630) 553-0167
Mailing address
811 W JOHN ST, YORKVILLE, IL 60560-9249
(630) 553-9100
(630) 553-0167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178006318
IL
Other
Enumeration date
09/28/2011
Last updated
10/17/2011
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