Individual
MRS. LEANN NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4241 KALAMAZOO DRIVE, CALEDONIA, MI 49316-9606
(616) 730-1302
Mailing address
4241 KALAMAZOO DRIVE, CALEDONIA, MI 49316-9606
(616) 730-1302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016474
MI
101YM0800X
Mental Health Counselor
Primary
6401224764
MI
Other
Enumeration date
03/13/2018
Last updated
01/21/2025
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