Individual
JACLYN MICHAELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-7294
Mailing address
5998 GLENEAGLE DR, HUDSONVILLE, MI 49426-9579
(616) 729-3510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
07/02/2025
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