MR. Gerald Lawrence Smith JR., LPC

NPI #1043008048 in Broadview, Illinois

Provider Information

NPI Number: 1043008048
Entity Type: Individual
Name: MR. Gerald Lawrence Smith JR., LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Apr 29, 2025
Last Updated: Apr 29, 2025

Practice Location

Address: 1522 BATAAN DR APT 2W
City: Broadview
State: Illinois
ZIP Code: 60155-3194
Phone: (773) 807-5783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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