Individual
JENNIFER DEBORAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9641 W 153RD ST STE 48, ORLAND PARK, IL 60462-3777
(708) 963-0333
Mailing address
23654 SPRINGS CT UNIT 115, PLAINFIELD, IL 60585-2243
(815) 302-6941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.015343
IL
Other
Enumeration date
01/29/2020
Last updated
08/20/2023
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