Individual
JORDAN NATHANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMFT
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505
(616) 456-6571
(616) 458-5430
Mailing address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
(616) 458-5430
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006611
MI
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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