Individual
ANGELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1950
Mailing address
1710 LATOUR DR NE, MARIETTA, GA 30066-1971
(770) 310-5923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011237
GA
101YM0800X
Mental Health Counselor
—
GA
Other
Enumeration date
08/16/2019
Last updated
10/20/2023
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