Doctor Name: | MARGARET SMITH |
NPI Number: | 1003259938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178.008116 |
Business Practice Address: | 318 W Half Day Rd Pmb 284 Buffalo Grove, IL - 600896547 |
Business Phone Number: | 8478219346 |
Business Fax Number: | |
Mailing Address: | 535 George Ave, WAUKEGAN |
State: | IL |
Postal Code: | 600856419 |
Phone Number: | 2244194010 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.008116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |