Individual
ANGELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
906 ELMO ST, AMERICUS, GA 31709-3711
(229) 380-0881
(229) 380-0883
Mailing address
906 ELMO ST, AMERICUS, GA 31709-3711
(229) 380-0881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005729
GA
Other
Enumeration date
03/09/2010
Last updated
12/09/2014
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