Organization
MISTY L SMITH LPC CAADC CCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY LYNNE SMITH LPC (OWNER)
(989) 400-6520
Entity
Organization
Contact information
Practice address
4384 SNOW RIDGE RD, ELMIRA, MI 49730-8747
(989) 400-6520
Mailing address
4384 SNOW RIDGE RD, ELMIRA, MI 49730-8747
(989) 400-6520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
05/15/2024
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