Individual provider · Type 1 NPI

John Smith, MA LPC CRC SCL

Professional Counselor · Redford, MI

NPI number 1184029340 Active

Practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

2775 Colrain Dr
Waterford, MI 48328-3618

Other practice locations

  • 2775 Colrain Dr, Waterford, MI 48328-3618 · (248) 738-6646

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X00014088 (MI)
School Counselor 101YS0200XMI-SC0000000749838 (MI)
Professional Counselor Primary 101YP2500X6401005523 (MI)

Professional Counselor: Definition to come...

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About NPI 1184029340

John Smith, MA LPC CRC SCL's National Provider Identifier is 1184029340, issued on Oct 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Redford, MI. The record was last updated on Sep 20, 2018.