Individual
DERRICK L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRC
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6901
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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