Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Yvetter Smith Davis

Individual provider Counselor · NPI 1235779406

Jacqueline Yvetter Smith Davis is a Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

16609 Archdale St
Detroit, MI 48235-3416
Phone: (313) 974-0175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 640100361 (MI)

Record details

NPI number1235779406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

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