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Individual
LATIA CHANELL GREEN
Active
Individual
LATIA CHANELL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14060
TX
101YP2500X
Professional Counselor
Primary
79877
TX
Other
Enumeration date
09/09/2020
Last updated
12/01/2022
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