Individual
MRS. CRYSTAL EVA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC NCC
Contact information
Practice address
1900 KINMOUNT DR, LAKE ORION, MI 48359-1639
(248) 872-5720
Mailing address
1900 KINMOUNT DR, LAKE ORION, MI 48359-1639
(248) 872-5720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010777
MI
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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