Individual
D'NETRA NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 JACKSON ST, NEWNAN, GA 30263-1572
(770) 251-5873
(770) 304-2201
Mailing address
239 VILLAGE PARK DR, NEWNAN, GA 30265-6259
(770) 328-2806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005827
GA
Other
Enumeration date
12/19/2009
Last updated
03/23/2015
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