Individual
MRS. CAROLINE WILCOX SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC,NCC,CAADC
Contact information
Practice address
1613 KUMMER CT, GENEVA, IL 60134-2929
(630) 420-0074
Mailing address
1613 KUMMER CT, GENEVA, IL 60134-2929
(630) 420-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18262
IL
101YM0800X
Mental Health Counselor
Primary
180-003660
IL
Other
Enumeration date
11/15/2006
Last updated
09/23/2009
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