NPI 1003218199
Jacqueline Pearson Smith
Practice location
- Address
- 18640 W. Belvidere Road, Grayslake, IL 60030
- Phone
- (847) 548-6000
- Fax
- (847) 587-3100
- Mailing address
- 2640 Nish Rd, Crystal Lake, IL 60012-1509
Registered specialties (2)
Marriage & Family Therapist
Primary
Professional Counselor
Registry record
- NPI
- 1003218199
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Sep 2014
- Record last updated
- 19 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.