Smith, John
Smith, John is an sole proprietor health care provider with primary practice located at 9315 Telegraph Rd , Redford MI 48239-1260. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, John can be contacted via phone (313) 450-4500.Contact Information
Primary practice address
9315 Telegraph Rd
Redford MI 48239-1260
Phone: (313) 450-4500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 00014088 | Michigan |
Behavioral Health & Social Service Providers / School | 101YS0200X | MI-SC0000000749838 | Michigan |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401005523 | Michigan |
Profile Details
NPI number | 1184029340 |
---|---|
LBN Legal business name | Smith, John |
Credentials | MA LPC CRC SCL |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 30th, 2014 |
Last updated | Sep 20th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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