Individual
NANCY JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
44 E 8TH ST, SUITE 230, HOLLAND, MI 49423-3575
(616) 613-6787
Mailing address
1230 HEATHER CT, HOLLAND, MI 49423-6817
(616) 403-9549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011450
MI
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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