John Smith, MA LPC CRC SCL

NPI #1184029340 in Redford, Michigan

Provider Information

NPI Number: 1184029340
Entity Type: Individual
Name: John Smith, MA LPC CRC SCL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA LPC CRC SCL
Enumeration Date: Oct 30, 2014
Last Updated: Sep 20, 2018

Practice Location

Address: 9315 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 450-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - School — School	101YS0200X
Counselor - Professional — Professional	101YP2500X	Primary

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