person
Khaliliah Kendra Smith
Professional Counselor in Conyers, Georgia
NPI 1760123657

Khaliliah Kendra Smith is a Professional Counselor based in Conyers, GA and is specialized in Professional. Khaliliah Kendra Smith practices in Conyers, GA. The NPI Number for Khaliliah Kendra Smith is 1760123657 and holds a License No. 12841 (Georgia).

The current practice location address for Khaliliah Kendra Smith is 1005 Milstead Ave Ne Ste 103, Conyers, GA and can be reached out via phone at 770-860-8549 and via fax at 866-210-1269.

Location: 1005 Milstead Ave Ne Ste 103, Conyers, GA, 30013-2979
person
Provider Profile Details
NPI Number
1760123657
Provider Name
Khaliliah Kendra Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1005 Milstead Ave Ne Ste 103, Conyers, GA, 30013-2979
Phone Number
770-860-8549
Fax Number
866-210-1269
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1005 Milstead Ave Ne Ste 103
City
State
Zip
30012-4509
Phone Number
770-860-8549
Fax Number
866-210-1269
person
Provider Business Mailing Address Details
Address
1005 Milstead Ave Ne Ste 103
City
State
Zip
30012-4509
Phone Number
770-860-8549
Fax Number
866-210-1269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12841 (Georgia)
Definition
Definition to come...
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