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Kellen M Smith
Mental Health Counselor in Fox Lake, Illinois
NPI 1306281324

Kellen M Smith is a Mental Health Counselor based in Fox Lake, IL and is specialized in Mental Health. Kellen M Smith practices in Fox Lake, IL. The NPI Number for Kellen M Smith is 1306281324 and holds a License No. 150113514 (Illinois).

The current practice location address for Kellen M Smith is 94 Eagle Point Rd, Fox Lake, IL and can be reached out via phone at 815-528-8965.

Location: 94 Eagle Point Rd, Fox Lake, IL, 60020-1764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306281324
Provider Name
Kellen M Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
94 Eagle Point Rd, Fox Lake, IL, 60020-1764
Phone Number
815-528-8965
Fax Number
Provider Enumeration Date
05/03/2013
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
94 Eagle Point Rd
City
Fox Lake
State
Illinois
Zip
60020-1764
Phone Number
815-528-8965
Fax Number
person
Provider Business Mailing Address Details
Address
94 Eagle Point Rd
City
Fox Lake
State
Illinois
Zip
60020-1764
Phone Number
815-528-8965
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
35098 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
30074 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
150113514 (Illinois)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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