Individual
MR. RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CADC-M
Contact information
Practice address
1800 IMLAY CITY RD, LAPEER, MI 48446-3208
(810) 245-5704
(810) 245-5676
Mailing address
1717 WHIPPLE ST, PORT HURON, MI 48060-3372
(810) 956-7522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
09/06/2012
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