Individual
JONATHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3459 ACWORTH DUE WEST RD NW STE 210, ACWORTH, GA 30101-5826
(770) 648-3618
Mailing address
4711 HICKORY BEND DR NW, ACWORTH, GA 30102-6340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012381
GA
Other
Enumeration date
04/27/2020
Last updated
01/16/2024
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