Individual
JOELLE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MA
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6942
(231) 935-6920
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6942
(231) 935-6920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L1050966
MI
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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