Individual
MARION ANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
801 HAZEN ST # C PO BOX 249, PAW PAW, MI 49079
(269) 657-5574
(269) 652-3474
Mailing address
61899M-43 PO BOX 179, VAN BURTEN COMMUNITY MENTAL HEALT, BANGER, MI 49013
(269) 427-5671
(269) 427-1012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024363
MI
171M00000X
Case Manager/Care Coordinator
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—
Other
Enumeration date
10/21/2019
Last updated
09/22/2025
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