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Individual
DAVID SMITH
Active
Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MHRM
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
101YP1600X
Pastoral Counselor
—
GA
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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