Individual
KAITLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LLPC, NCC
Contact information
Practice address
1901 NILES AVE STE 102, SAINT JOSEPH, MI 49085-1615
(269) 982-7200
(269) 982-0202
Mailing address
349 BLUFFVIEW, WATERVLIET, MI 49098-9380
(480) 634-3212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401222547
MI
106H00000X
Marriage & Family Therapist
35001886A
IN
106H00000X
Marriage & Family Therapist
Primary
4101006697
MI
Other
Enumeration date
08/14/2014
Last updated
02/15/2024
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