Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MHRM
Contact information
Practice address
556 HARVICK CIR, STOCKBRIDGE, GA 30281-4460
(678) 755-2554
Mailing address
556 HARVICK CIR, STOCKBRIDGE, GA 30281-4460
(678) 755-2554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
101YP1600X
Pastoral Counselor
—
GA
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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