Individual
NACOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, COLUMBUS, GA 31905-2102
(762) 408-4067
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-4067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7288
TN
1041C0700X
Clinical Social Worker
Primary
7288
TN
Other
Enumeration date
11/18/2020
Last updated
10/16/2023
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