Individual
GABRIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 ROSETTA DR SW, ATLANTA, GA 30331-8226
(804) 627-1597
Mailing address
6344 ROSETTA DR SW, ATLANTA, GA 30331-8226
(804) 627-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC016510
GA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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