Individual
LISA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
181 10TH ST NE, SUITE 103, ATLANTA, GA 30309-4050
(678) 310-6631
(866) 907-3948
Mailing address
PO BOX 77154, ATLANTA, GA 30357-1154
(678) 310-6631
(866) 907-3948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003087
GA
Other
Enumeration date
03/08/2007
Last updated
08/28/2012
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