Individual
MS. DONNA DARCELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
1401 WEST JARVIS AVE., #2E, CHICAGO, IL 60626
(773) 856-3142
Mailing address
1401 WEST JARVIS AVE., #2E, CHICAGO, IL 60626
(773) 856-3142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20992
IL
101YP2500X
Professional Counselor
Primary
180007270
IL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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