Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 BLACKLEY OLD RD, DOUGLASVILLE, GA 30135-8119
(404) 720-4681
Mailing address
3239 BLACKLEY OLD RD, DOUGLASVILLE, GA 30135-8119
(404) 720-4681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008613
GA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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