Individual
MS. BRENDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(706) 820-6087
Mailing address
4083 CLOUD SPRINGS RD, FORT OGLETHORPE, GA 30736
(706) 820-6087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
814
GA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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