Individual
DR. MICHAEL V SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8243 S RISING SUN DR, PENDLETON, IN 46064-7526
(317) 674-3277
Mailing address
8243 S RISING SUN DR, PENDLETON, IN 46064-7526
(058) 904-3705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004613A
IN
Other
Enumeration date
12/11/2015
Last updated
07/27/2023
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