Individual provider · Type 1 NPI
Michelle Smith, REVEREND
Mental Health Counselor · Sacramento, CA
NPI number
1508972951
Active
Practice location
3990 Branch Center Rd # 95827, Serna Center 5735 47th Avenue
Sacramento, CA 95827-3809
Mailing address
6733 Demaret Dr
Sacramento, CA 95822-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMF40419 (CA) |
| Pastoral Counselor | 101YP1600X | IMF40419 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1508972951
Michelle Smith, REVEREND's National Provider Identifier is 1508972951, issued on Aug 21, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Sep 11, 2025.