Individual
MR. FREDERICK L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(706) 402-2903
Mailing address
202 BROOKSTONE DR, CARROLLTON, GA 30116-4915
(706) 402-2903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005064
GA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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