MS. JUANITA LOUISE SMITH
NPI 1124364963
Counselor - School in Crete, IL
Active since December 26, 2012
About Ms. Juanita Louise Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUANITA LOUISE SMITH (NPI 1124364963) is an individual school provider in Crete, Illinois, licensed in Illinois (2299795) and active in the NPI registry since December 2012.
NPPES Registry Identity
NPI1124364963
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameMS. JUANITA LOUISE SMITH
Location Address939 HONEY LNCrete, IL 60417-1329
Mailing Address939 Honey LnCrete, IL 60417-1329 · (708) 674-4837 · Fax (708) 672-9883
Phone(708) 674-4837
Fax(708) 672-9883
Sole ProprietorYes
Enumeration DateDecember 26, 2012
✔ NPI 1124364963 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in IL · 2299795
939 HONEY LN, Crete, IL 60417
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124364963, enumerated as an "individual" on December 26, 2012.
The provider is located at 939 HONEY LN CRETE, IL 60417 and the phone number is (708) 674-4837.
Counselor with taxonomy code 101YS0200X and a focus in School.
