Individual
CHRISTOPHER SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
262 E LAKEVIEW DR, LAGRANGE, GA 30240-3808
(762) 323-7745
Mailing address
262 E LAKEVIEW DR, LAGRANGE, GA 30240-3808
(762) 323-7745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011017
GA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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