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Individual
DR. ODETTA SMILEY
Active
Individual
DR. ODETTA SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC, CCMHC,MAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
507430
—
101YP2500X
Professional Counselor
Primary
LPC004492
GA
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003228219A
—
GA
01
—
1194082818
NPI
GA
01
—
1659911063
NPI 2
GA
Enumeration date
04/19/2012
Last updated
01/26/2024
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