Individual
DR. LINDA YVONNE HENDERSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
1345 DOE VALLEY DR, LITHONIA, GA 30058-6201
(323) 240-6543
Mailing address
1345 DOE VALLEY DR, LITHONIA, GA 30058-6201
(323) 240-6543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569644507A
—
GA
Enumeration date
06/11/2009
Last updated
04/30/2020
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