Individual
CRYSTAL LAUREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-DMT, LCPC
Contact information
Practice address
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201-4508
(773) 817-2797
Mailing address
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201-4508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006725
IL
Other
Enumeration date
10/21/2008
Last updated
06/11/2019
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