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Champagnae Smith
Mental Health Counselor in Dallas, Georgia
NPI 1699483222

Champagnae Smith is a Mental Health Counselor based in Douglasville, GA and is specialized in Mental Health. Champagnae Smith practices in Dallas, GA. The NPI Number for Champagnae Smith is 1699483222 and holds a License No. (Georgia).

The current practice location address for Champagnae Smith is 110 Evans Mill Dr, Dallas, GA and can be reached out via phone at 215-475-1327.

Location: 110 Evans Mill Dr, Dallas, GA, 30134-1675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699483222
Provider Name
Champagnae Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Evans Mill Dr, Dallas, GA, 30134-1675
Phone Number
215-475-1327
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Evans Mill Dr
City
Dallas
State
Georgia
Zip
30157-1622
Phone Number
215-475-1327
Fax Number
person
Provider Business Mailing Address Details
Address
110 Evans Mill Dr
City
Dallas
State
Georgia
Zip
30157-1622
Phone Number
215-475-1327
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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