DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREY DANIEL SMITH

Active Sole Proprietor

COREY DANIEL SMITH is a Professional Counselor healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1578101044 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CRYSTAL LAKE, IL

Registration Details

NPI Number
1578101044
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2019 (6.6796198886083 yrs)
Last Updated
Dec 16, 2019
License
149.021854 (IL)
Sole Proprietor
Yes

Practice Information

Address
800 S MCHENRY AVE
CRYSTAL LAKE, IL, 600147487
Browse IL providers · Browse ZIP 60014
Phone
6303359408
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CRYSTAL LAKE, IL

Name Credential NPI
SHIRA R GREENFIELD LCPC 1356340665
MR. EDWARD GROENENDAL MA 1629185475
JEANA ALTMAN LCPC 1790887040
MS. DEBRA M SIMPSON LCPC 1699879742
MRS. MARY F HERATY LCPC 1750464483
DAVID WELCH LCPC 1063582047
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.