Odetta Smiley LPC, NCC, MAC, ACS

NPI 1194082818 - Counselor - 101YA0400X

NPI Details
NPI 1194082818
Gender Female
Enumeration Date 04/19/2012
Last Updated 04/17/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
121 CASA DRIVE
TWIN CITY GA, 30471, US
Phone (912) 655-1811
Fax
Business Location
PO BOX 977
ELLABELL GA, 31308-0977, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number 507430
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According to our database, Odetta Smiley LPC, NCC, MAC, ACS NPI is 1194082818, taxonomy code is 101YA0400X and license number is 507430, license state is located at . Odetta Smiley LPC, NCC, MAC, ACS physically located at 121 Casa Drive, Twin City GA, 30471. NPI Number Odetta Smiley LPC, NCC, MAC, ACS has the Individual type.

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1194082818 NPI number is provided on an as is basis without warranty of any kind. 1194082818 is maintained by the National Plan & Provider Enumeration System. The contents of Odetta Smiley LPC, NCC, MAC, ACS are for informational purposes only.