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General NPI Number Information
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NPI Number | 1275024200
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Entity Type | Individual
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Provider Name | MEGAN ANN SMITH MA, LPC, DP-S, CAADC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 126 WASHINGTON AVE
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City | BAY CITY
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State | MI
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Zip | 48708-5846
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Country | US
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Telephone | 989-684-7977
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Fax | 989-684-4331
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Provider Business Mailing Address
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Address Line | 443 N STATE ST
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City | CARO
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State | MI
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Zip | 48723-1539
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Country | US
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Telephone | 989-673-5700
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-03910
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401222642
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License Number State | MI
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