Individual
KELLY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1250 EXECUTIVE PL STE 501, GENEVA, IL 60134-2482
(630) 232-7457
Mailing address
1250 EXECUTIVE PL STE 501, GENEVA, IL 60134-2482
(630) 232-7457
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001850
IL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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