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NPI Code Detail

MEDICARE: COURTNEY LYNN SMITH M.A., LPC

MEDICARE: COURTNEY LYNN SMITH M.A., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor178.015679IL

General Provider Information

NPI Number : 1841887437
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LYNN SMITH M.A., LPC
Provider Business Mailing Address
First Line : 15127 S 73RD AVE STE C
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3463
Country : US
Telephone Number : 708-586-9303
Fax Number : 866-950-9427
Provider Business Practice Location Address
First Line : 15127 S 73RD AVE STE C
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3463
Country : US
Telephone Number : 708-586-9303
Fax Number : 866-950-9427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 12/29/2020

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