Organization
LIFE COACH PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD SMITH M.D. (OWNER)
(269) 471-9892
Entity
Organization
Contact information
Practice address
9067 US HIGHWAY 31, SUITE 203, BERRIEN SPRINGS, MI 49103-1664
(269) 471-9892
Mailing address
9067 US HIGHWAY 31, SUITE 203, BERRIEN SPRINGS, MI 49103-1664
(269) 471-9892
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301010743
MI
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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