person
Keshia L Smith
Mental Health Counselor in Chicago, Illinois
NPI 1265907869

Keshia L Smith is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Keshia L Smith practices in Chicago, IL. The NPI Number for Keshia L Smith is 1265907869 and holds a License No. 180.014731 (Illinois).

The current practice location address for Keshia L Smith is 2944 W Montrose Ave Apt 3, Chicago, IL and can be reached out via phone at 312-725-6403.

Location: 2944 W Montrose Ave Apt 3, Chicago, IL, 60618-1485
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Provider Profile Details
NPI Number
1265907869
Provider Name
Keshia L Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
2944 W Montrose Ave Apt 3, Chicago, IL, 60618-1485
Phone Number
312-725-6403
Fax Number
Provider Enumeration Date
10/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134994171 01 IL NPI 2
institution
Provider Business Practice Location Address Details
Address
2944 W Montrose Ave Apt 3
City
State
Zip
60618-1485
Phone Number
312-725-6403
Fax Number
person
Provider Business Mailing Address Details
Address
2944 W Montrose Ave Apt 3
City
State
Zip
60618-1485
Phone Number
312-725-6403
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.014731 (Illinois)
Definition
Definition to come...
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