Wakisha Evelyn Smith Harvey, LPC
Counselor, Professional in Jonesboro, GA. Individual provider (NPI-1).
NPI number1396040887
StatusActive
Last updated in NPPESJan 14, 2011
Details
- NPI
- 1396040887
- Entity type
- Individual (NPI-1)
- Name
- Wakisha Evelyn Smith Harvey
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2011
- Last updated
- Jan 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC005806 | GA | Yes |
Other names
- Wakisha Evelyn Smith (Former Name)
Practice location
853 Battlecreek RdJonesboro, GA 30236-1919
Phone 770-478-1099
Mailing address
340 Fairmont WayFairburn, GA 30213-5429
Phone 770-964-8858
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