Individual
CELESTE JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
4000 W WALTON BLVD STE A, WATERFORD, MI 48329
(810) 545-8308
Mailing address
4000 W WALTON BLVD STE A, WATERFORD, MI 48329-4191
(810) 545-8308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016468
MI
101YP2500X
Professional Counselor
Primary
640101753
MI
Other
Enumeration date
11/29/2018
Last updated
07/30/2019
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