Individual provider · Type 1 NPI

Khaliliah Kendra Smith

Professional Counselor · Conyers, GA

NPI number 1760123657 Active

Practice location

1005 Milstead Ave NE Ste 103
Conyers, GA 30012-4509

Call (770) 860-8549 Map

Fax (866) 210-1269

Mailing address

1705 Druids Ct SE
Conyers, GA 30013-2979

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12841 (GA)

Professional Counselor: Definition to come...

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About NPI 1760123657

Khaliliah Kendra Smith's National Provider Identifier is 1760123657, issued on Apr 5, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conyers, GA. The record was last updated on Apr 5, 2022.