person
Corey Daniel Smith
Professional Counselor in Crystal Lake, Illinois
NPI 1578101044

Corey Daniel Smith is a Professional Counselor based in Hampshire, IL and is specialized in Professional. Corey Daniel Smith practices in Crystal Lake, IL. The NPI Number for Corey Daniel Smith is 1578101044 and holds a License No. 149.021854 (Illinois).

The current practice location address for Corey Daniel Smith is 800 S Mchenry Ave, Crystal Lake, IL and can be reached out via phone at 630-335-9408. You can also correspond with Corey Daniel Smith through the mailing address at 1681 ROCKPORT RD, HAMPSHIRE, IL - 60140-9062 (mailing address contact number: 630-335-9408).

Location: 800 S Mchenry Ave, Crystal Lake, IL, 60140-9062
person
Provider Profile Details
NPI Number
1578101044
Provider Name
Corey Daniel Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 S Mchenry Ave, Crystal Lake, IL, 60140-9062
Phone Number
630-335-9408
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 S Mchenry Ave
City
State
Zip
60014-7487
Phone Number
630-335-9408
Fax Number
person
Provider Business Mailing Address Details
Address
800 S Mchenry Ave
City
State
Zip
60014-7487
Phone Number
630-335-9408
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
149.021854 (Illinois)
Definition
Definition to come...
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