| Mr Gerald Lawrence Smith Jr, LPC | |
|
1522 Bataan Dr Apt 2w, Broadview, IL 60155-3194 | |
| (773) 807-5783 | |
| Not Available |
| Full Name | Mr Gerald Lawrence Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1522 Bataan Dr Apt 2w, Broadview, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043008048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178021314 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gerald Lawrence Smith Jr, LPC 1522 Bataan Dr Apt 2w, Broadview, IL 60155-3194 Ph: (773) 807-5783 | Mr Gerald Lawrence Smith Jr, LPC 1522 Bataan Dr Apt 2w, Broadview, IL 60155-3194 Ph: (773) 807-5783 |
Miss Jamie L Dobkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 | |
Mrs. Jackie E Skinner, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-410-0744 | |
Katherine Goelitz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-498-0200 | |
Lyndsey Tan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 630-801-5658 | |
Mr. Philip William Schneeberger, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-344-3301 Fax: 708-344-2944 | |
Nadia Gomez-moran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 |