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Individual

MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1519 RAINBOW DR, GADSDEN, AL 35901-5326
(256) 459-8255
Mailing address
PO BOX 7052, GADSDEN, AL 35906-7052
(256) 393-2463

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017
LPC
AL
Enumeration date
08/03/2005
Last updated
04/19/2023
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