Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK SMITH, L.C.P.C.
Active Sole ProprietorJACK SMITH, L.C.P.C. is a Professional Counselor healthcare provider located in ORLAND PARK, Illinois. NPI 1710191564 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ORLAND PARK, IL
Registration Details
- NPI Number
- 1710191564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.283579252047 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
15040 S RAVINIA AVE STE 44ORLAND PARK, IL, 604623173Browse IL providers · Browse ZIP 60462
- Phone
- 7082261280
- Fax
- 7082265810
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER M YADRON | MA LCPC CADC | 1164495099 |
| MICHELLE J VANNOORD | LCPC | 1134193311 |
| AMY E STUART | MA LPC | 1710951892 |
| VICKEY L MACLIN | MA LPC | 1972579555 |
| DICK T COLE | PHD LCPC | 1730155326 |
| MELANIE C BENES | MA LCPC | 1356317945 |
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.