Individual
BRANDIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
523 CHURCH ST, DECATUR, GA 30030-2515
(404) 589-9040
Mailing address
523 CHURCH ST, DECATUR, GA 30030-2515
(404) 589-9040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005308
GA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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