Krystal Ann Smith
Counselor, Professional in Huntley, IL. Individual provider (NPI-1).
NPI number1487101564
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1487101564
- Entity type
- Individual (NPI-1)
- Name
- Krystal Ann Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2016
- Certification date
- Nov 14, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178.018264 | IL | Yes |
Practice location
12151 Regency Pkwy Ste 12169Huntley, IL 60142-7644
Phone 815-331-8768 · Fax 815-331-8760
Mailing address
12151 Regency Pkwy Ste 12169Huntley, IL 60142-7644
Phone 815-331-8768 · Fax 815-331-8760
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