Individual
JUDITH TESSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
3045 SCARLETT ST, BRUNSWICK, GA 31520-1251
(912) 554-8500
Mailing address
3441 CYPRESS MILL RD, SUITE 102, BRUNSWICK, GA 31520-2878
(912) 554-8542
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001868
GA
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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