Individual
MS. CHARYL LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
23819 W MILL ST STE 3, PLAINFIELD, IL 60544-3460
(815) 955-8725
Mailing address
23819 W MILL ST STE 3, PLAINFIELD, IL 60544-3460
(815) 955-8725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.013021
IL
Other
Enumeration date
02/25/2019
Last updated
08/10/2020
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