Individual
MRS. MICHELLE BERNADETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7286
OK
Other
Enumeration date
11/29/2018
Last updated
11/26/2019
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