Individual
CHARLOTTE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1517 W HOLLY HEDGES DR, PEORIA, IL 61614-4168
(847) 977-7647
Mailing address
1517 W HOLLY HEDGES DR, PEORIA, IL 61614-4168
(847) 977-7647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.021313
IL
Other
Enumeration date
01/17/2025
Last updated
02/21/2025
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