Individual
EMMA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16720 WUNSCH RD, TRAVERSE CITY, MI 49686-9778
(231) 360-3267
Mailing address
16720 WUNSCH RD, TRAVERSE CITY, MI 49686-9778
(231) 360-3267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224593
MI
101YP2500X
Professional Counselor
—
MI
374700000X
Technician
L52572
MI
Other
Enumeration date
11/03/2017
Last updated
10/23/2024
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