Corey Daniel Smith Valid NPI

Individual provider · Professional Counselor · Crystal Lake, IL

NPI

1578101044

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

149.021854 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-12-16

Last updated

2019-12-16