Individual
MARCIA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
6488 SPRING ST STE 102, DOUGLASVILLE, GA 30134
(770) 949-1595
(770) 489-7521
Mailing address
3315 CREATWOOD TRL SE, SMYRNA, GA 30080
(513) 739-9220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010186
GA
Other
Enumeration date
03/25/2013
Last updated
09/26/2019
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