Individual
AMANDA GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
230 RIVERSTONE PKWY STE C, CANTON, GA 30114-6414
(470) 221-2256
Mailing address
465 SUMMIT ST, BLUE RIDGE, GA 30513-8580
(706) 455-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3610-R
GA
Other
Enumeration date
08/25/2022
Last updated
10/03/2023
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