Individual
NATASHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3210
Mailing address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180004010
—
101YP2500X
Professional Counselor
180004010
—
Other
Enumeration date
07/15/2016
Last updated
07/16/2016
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