Smith, Michelle Dawn

Smith, Michelle Dawn is an individual health care provider with primary practice located at 89 W Main St , Vernal UT 84078-2535. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Michelle Dawn can be contacted via phone (435) 790-5628.

Contact Information

Primary practice address
89 W Main St Vernal UT 84078-2535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11245951-6009 Utah

Profile Details

NPI number 1013573716
LBN Legal business name Smith, Michelle Dawn
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2019
Last updated Aug 3rd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013573716 NPPES
Utah Other 11245951-6009 DOPL

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