Individual
MICHAEL C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 GUN CLUB RD, WHITE BEAR LAKE, MN 55110-3379
(612) 644-4887
Mailing address
5891 RICE CREEK PKWY UNIT 110, SHOREVIEW, MN 55126-4406
(763) 486-5768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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