Individual
MS. JAYNE E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
544 MEDLOCK RD, STE 112, DECATUR, GA 30030-1515
(404) 310-8811
Mailing address
5342 ENCHANTED CV SW, LILBURN, GA 30047-6372
(404) 310-8811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002613
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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