Jacqueline Pearson Smith
Professional Counselor
18640 W. Belvidere Road
Grayslake
, Illinois 60030
Jacqueline Pearson Smith
Professional Counselor
18640 W. Belvidere Road
Grayslake
, Illinois 60030
(815) 557-6563
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Jacqueline Pearson Smith
- 2640 Nish Rd
- Crystal Lake, IL
- Zip : 60012-1509
- Phone : (815) 557-6563
Second Address
- Jacqueline Pearson Smith
- 18640 W. Belvidere Road
- Grayslake, IL
- Zip : 60030
- Fax : (847) 587-3100
- Phone : (847) 548-6000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP2500X | Professional Counselor |
National Provider Identifier
| NPI | 1003218199 |
|---|---|
| Provider Name | Jacqueline Pearson Smith |
| First Address | Crystal Lake, IL 60012-1509 |
| Second Address | Grayslake, IL 60030 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2014 |
| Last Update Date | 19/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.