| NPI | 1043657075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN SMOLKO-SELF Owner/Lpc 770-713-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004657) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |