Individual
LISA KING SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
309 TANNER ST, CARROLLTON, GA 30117-3207
(404) 375-2036
Mailing address
309 TANNER ST, CARROLLTON, GA 30117-3207
(404) 375-2036
(770) 834-1865
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
008378
GA
101YP2500X
Professional Counselor
Primary
LPC008378
GA
Other
Enumeration date
08/09/2015
Last updated
04/18/2018
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