| Smith Counseling Clinic Inc | |
|
804 N Wiley Ave Donalsonville GA 39845-1120 | |
| (229) 524-8994 | |
| (229) 524-1272 |
| Full Name | Smith Counseling Clinic Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 804 N Wiley Ave, Donalsonville, Georgia |
| Authorized Official Name and Position | Gary W Smith (COUNSELOR) |
| Authorized Official Contact | 2295248994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Counseling Clinic Inc 804 N Wiley Ave Donalsonville GA 39845-1120 Ph: (229) 524-8994 | Smith Counseling Clinic Inc 804 N Wiley Ave Donalsonville GA 39845-1120 Ph: (229) 524-8994 |
| NPI Number | 1922263326 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922263326 | NPI | - | NPPES |
| LPC004048 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004048 (Georgia) | Primary |
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