NPI 1003229246

Jordan Nathaniel Smith, LLMFT

Practitioner Marriage & Family Therapist Grand Rapids, MI

Practice location

Address: 1101 Ball Ave NE, Grand Rapids, MI 49505
Phone: (616) 456-6571
Fax: (616) 458-5430
Mailing address: 1101 Ball Ave NE, Grand Rapids, MI 49505-5904

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4101006611 (MI)

Other Marriage & Family Therapist providers in Michigan →

Registry record

NPI: 1003229246
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2014
Record last updated: 5 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.