Individual
FELICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12 FOX GLEN CT, PORT WENTWORTH, GA 31407-3621
(706) 872-9023
Mailing address
12 FOX GLEN CT STE 129, PORT WENTWORTH, GA 31407-3621
(706) 872-9023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC012618
GA
Other
Enumeration date
01/25/2017
Last updated
02/03/2022
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