| Doctor Name: | MAUREEN GAIL SMITH |
| NPI Number: | 1043234081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC, CFLE |
| License Number: | 6401009079 |
| Business Practice Address: | 11050 Maple Run Blvd Clio, MI - 484202401 |
| Business Phone Number: | 8108200036 |
| Business Fax Number: | |
| Mailing Address: | 11050 Maple Run Blvd, CLIO |
| State: | MI |
| Postal Code: | 484202401 |
| Phone Number: | 8108200036 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401009079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |