Individual
MITCHELL L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3899 OKEMOS RD STE A1, OKEMOS, MI 48864-3666
(517) 507-5892
Mailing address
1255 IVES RD, MASON, MI 48854-9236
(517) 648-5643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401224014
MI
Other
Enumeration date
03/09/2020
Last updated
02/21/2024
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