Individual provider · Type 1 NPI

Courtney Lyn Smith

Professional Counselor · Grand Rapids, MI

NPI number 1053617100 Active

Practice location

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Call (616) 456-1443 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014251 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Professional Counselor: Definition to come...

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About NPI 1053617100

Courtney Lyn Smith's National Provider Identifier is 1053617100, issued on Feb 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 20, 2022.