Individual
MRS. JECOVA SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
915 INTERSTATE RIDGE DR, SUITE G, GAINESVILLE, GA 30501-7076
(678) 207-1816
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005387
GA
Other
Enumeration date
12/18/2006
Last updated
04/13/2009
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