Individual
JODIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
10204 CORCORAN RD, HASLETT, MI 48840-9226
(517) 416-5131
Mailing address
PO BOX 448, HASLETT, MI 48840-0448
(517) 416-5131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
04/19/2016
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