Individual
MR. SAMUEL SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
5150 STILESBORO RD NW, KENNESAW, GA 30152-7744
(770) 852-8686
(770) 852-8696
Mailing address
5150 STILESBORO RD NW, KENNESAW, GA 30152-7744
(770) 852-8686
(770) 852-8696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009519
GA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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