Individual
MS. EDITH RENA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEER SUPPO
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 347-2068
(313) 825-2429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
175T00000X
Peer Specialist
2008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008
CERIFIED PEER SUPPORT SPECIALIST
MI
01
—
2018
CERIFIED PEER RECOVERY COACH
MI
Enumeration date
07/07/2011
Last updated
02/21/2023
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