Individual
DEJA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 MOUNT CARMEL RD APT 7110, MCDONOUGH, GA 30253-6343
(334) 318-9202
Mailing address
91 MOUNT CARMEL RD APT 7110, MCDONOUGH, GA 30253-6343
(334) 318-9202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010804
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
04/16/2026
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