Individual
MS. NEDGRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LLMSW
Contact information
Practice address
400 136TH AVE STE 416, HOLLAND, MI 49424-2905
(616) 952-9957
Mailing address
7640 TIMBERCREEK CT APT 1, PORTAGE, MI 49024-7004
(269) 358-0271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401015959
MI
101YP2500X
Professional Counselor
Primary
6401224600
MI
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
6801100349
MI
Other
Enumeration date
03/23/2011
Last updated
01/26/2026
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