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NPI Code Detail

MEDICARE: BETTY ANN SMITH MA, LLPC

MEDICARE: BETTY ANN SMITH MA, LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401013028MI

General Provider Information

NPI Number : 1053659805
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY ANN SMITH MA, LLPC
Provider Business Mailing Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number :
Provider Business Practice Location Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 02/28/2018

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Directions to “ BETTY ANN SMITH MA, LLPC” Practice Location

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