Individual
ANDREW MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
Mailing address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17272-131
WI
101YM0800X
Mental Health Counselor
Primary
12090-125
WI
Other
Enumeration date
03/21/2024
Last updated
01/05/2026
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