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NPI 1255752986

NPI 1255752986 : FAITH A SMITH LLPC : PORT HURON, MI

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General NPI Number Information
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    NPI Number           |    1255752986
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    Entity Type          |    Individual 
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    Provider Name        |    FAITH A SMITH LLPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/23/2013
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    1024 SUPERIOR STREET 
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    City                 |    PORT HURON
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    State                |    MI
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    Zip                  |    48060-3936
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    Country              |    US
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    Telephone            |    810-966-0099
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    Fax                  |    810-696-7339
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Provider Business Mailing Address
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    Address Line         |    3315 ELK STREET 
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    City                 |    PORT HURON
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    State                |    MI
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    Zip                  |    48060-2036
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    Country              |    US
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    Telephone            |    586-823-1028
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    Fax                  |    810-696-7339
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    6451024169
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    License Number State |    MI
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