Individual
MR. CALVIN SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1867 HARVARD AVE, COLLEGE PARK, GA 30337-3526
(404) 635-6021
Mailing address
5656 LAUREL RIDGE DR, ATLANTA, GA 30344-8021
(708) 802-4580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012704
GA
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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