Provider Demographics
NPI:1346513363
Name:SMITH, MICHEAL FRANCES (CA LMFT (MA))
Entity Type:Individual
Prefix:MR
First Name:MICHEAL
Middle Name:FRANCES
Last Name:SMITH
Suffix:
Gender:M
Credentials:CA LMFT (MA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MERCER AVENUE
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023
Mailing Address - Country:US
Mailing Address - Phone:805-888-9254
Mailing Address - Fax:805-669-3525
Practice Address - Street 1:2021 SPERRY AVENUE
Practice Address - Street 2:SUITE 22
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-888-9254
Practice Address - Fax:805-669-3525
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 58558106H00000X
CALMFT51393106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist