Individual
ALTHEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH
Contact information
Practice address
26677 W 12 MILE RD STE 136, SOUTHFIELD, MI 48034-1514
(248) 990-6384
Mailing address
26677 W 12 MILE RD STE 136, SOUTHFIELD, MI 48034-1514
(248) 990-6384
(313) 924-5694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014365
MI
101YP2500X
Professional Counselor
Primary
6401014365
MI
Other
Enumeration date
08/27/2014
Last updated
05/04/2018
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