Individual
MICHAEL F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MS, MA, MBA
Contact information
Practice address
5699 N CENTERPARK WAY APT 544, GLENDALE, WI 53217-4576
(414) 415-0999
Mailing address
5699 N CENTERPARK WAY APT 544, GLENDALE, WI 53217-4576
(414) 721-1911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11022-125
WI
Other
Enumeration date
05/01/2022
Last updated
09/05/2024
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