Lori Anne Smith
Counselor, Mental Health in Homewood, IL. Individual provider (NPI-1).
NPI number1760107445
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1760107445
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lori Anne Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2022
- Certification date
- Oct 4, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
905 175th St Fl 3Homewood, IL 60430-2076
Phone 773-998-9948
Mailing address
5242 S Hyde Park Blvd Apt 609Chicago, IL 60615-4254
Phone 661-305-2995
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