Individual
MRS. REGINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5 MALL ANX, SAVANNAH, GA 31406-4738
(912) 495-8887
(803) 281-8882
Mailing address
PO BOX 22637, SAVANNAH, GA 31403-2637
(912) 355-9738
(912) 355-5643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC001663
GA
Other
Enumeration date
11/02/2006
Last updated
05/03/2022
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