Individual
ESTORIOUS EIVADNE' SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19 COLLEGE ST, #492, AUBURN, GA 30011-4304
(478) 538-1470
Mailing address
19 COLLEGE ST, #492, AUBURN, GA 30011-4304
(478) 538-1470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011134
GA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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