Search › Illinois › 101Y00000X

George Smith, MA, LCPC, CSADC

NPI 1750409165 · on the registry since 2007

Practice

Address
50 Northgate Ind. Dr
Granite City, IL 62040
Phone
(618) 877-4420
Fax
(618) 877-0904

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois