Individual
SEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 WESTLAND BLVD NW, ATLANTA, GA 30311-1218
(404) 512-1703
Mailing address
PO BOX 42438, ATLANTA, GA 30311-0438
(404) 512-1703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
352216041
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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