Individual provider · Type 1 NPI
Jacqueline Yvetter Smith Davis
Counselor · Detroit, MI
NPI number
1235779406
Active
Practice location
16609 Archdale St
Detroit, MI 48235-3416
Mailing address
37450 Schoolcraft Rd
Livonia, MI 48150-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 640100361 (MI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1235779406
Jacqueline Yvetter Smith Davis's National Provider Identifier is 1235779406, issued on Jan 15, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 15, 2020.