Individual
JENNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2245 S STATE ST, ANN ARBOR, MI 48104-6184
(734) 769-0209
Mailing address
9477 SILVERSIDE, SOUTH LYON, MI 48178-8809
(616) 498-1238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018193
MI
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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