Individual
MR. PATRICK L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
117 DOVE LN, LEESBURG, GA 31763-6211
(229) 291-7283
Mailing address
117 DOVE LN, LEESBURG, GA 31763-6211
(229) 291-7283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
10/14/2020
Last updated
11/11/2020
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