Individual
NACOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S ZACK HINTON PKWY, MCDONOUGH, GA 30253-3335
(678) 432-3330
Mailing address
1102 HADDON PL, MCDONOUGH, GA 30253-6942
(678) 898-2306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
057822021
GA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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