Individual
MS. TYNETTA AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., DTLLP
Contact information
Practice address
1400 W MILHAM AVE, PORTAGE, MI 49024-1209
(888) 344-5977
Mailing address
3426 W MAIN ST APT 3, KALAMAZOO, MI 49006-6035
(410) 903-8439
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6352000873
MI
Other
Enumeration date
05/21/2017
Last updated
06/13/2023
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