Individual
DR. PAUL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
5180 ROSWELL RD, ATLANTA, GA 30342-2293
(404) 500-8621
Mailing address
1442 BATES CT NE, BROOKHAVEN, GA 30319-3506
(210) 663-9837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10761
GA
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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