Mi-Chaelah H Smith
Counselor, Mental Health in Orange, NJ. Individual provider (NPI-1).
NPI number1942970033
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1942970033
- Entity type
- Individual (NPI-1)
- Name
- Mi-Chaelah H Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2021
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37FA00020600 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37FA00020600 | NJ |
Practice location
395 S Center StOrange, NJ 07050-3205
Phone 973-323-3389
Mailing address
395 S Center StOrange, NJ 07050-3205
Phone 973-323-3389
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