Individual
MICHELLE DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
89 W MAIN ST, VERNAL, UT 84078-2535
(435) 790-5628
Mailing address
89 W MAIN ST, VERNAL, UT 84078-2535
(435) 790-5628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11245951-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11245951-6009
DOPL
UT
Enumeration date
05/17/2019
Last updated
08/03/2023
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