Individual
MS. VICKI LYNN NELSON SMEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
4519 CASCADE RD SE, BLDG 2 STE 1, GRAND RAPIDS, MI 49546-3666
(616) 460-1819
(616) 942-9490
Mailing address
2208 STRATFORD CT SE, EAST GRAND RAPIDS, MI 49506-4133
(616) 460-1819
(616) 942-9490
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301010861
MI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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