Individual
MR. RANDAL GENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC, AAS
Contact information
Practice address
529 MARTIN LUTHER KING JUNIOR BLVD, FLINT, MI 48502-2002
(810) 238-0483
Mailing address
4310 HUCKLEBERRY LN, FLINT, MI 48507-2358
(810) 962-5139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC
MI
Other
Enumeration date
05/23/2013
Last updated
05/24/2013
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