Smith, Marcie J

Smith, Marcie J is an sole proprietor health care provider with primary practice located at 226 State St , St Charles IL 60174-1864. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Marcie J can be contacted via phone (630) 587-3777.

Contact Information

Primary practice address
226 State St St Charles IL 60174-1864
Phone: (630) 587-3777
Fax: (630) 587-3791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180002075 Illinois
Behavioral Health & Social Service Providers / School 101YS0200X Illinois

Profile Details

NPI number 1053540559
LBN Legal business name Smith, Marcie J
Credentials LCPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Aug 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053540559 NPPES
Illinois Other 1912078262 GROUP

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