Individual
MR. CHARLES VINCENT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, APC, NCC
Contact information
Practice address
740 CAMERON M ALEXANDER BLVD NW, ATLANTA, GA 30318-6812
(917) 603-9287
Mailing address
9805 AUTRY FALLS DR, JOHNS CREEK, GA 30022-8095
(917) 603-9287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007540
GA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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