Individual
DR. NINI A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
19785 W 12 MILE RD # 464, SOUTHFIELD, MI 48076-2584
(248) 224-1011
(248) 621-7308
Mailing address
19785 W 12 MILE RD # 464, SOUTHFIELD, MI 48076-2584
(248) 224-1011
(248) 282-5110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009508
MI
Other
Enumeration date
11/06/2013
Last updated
08/29/2024
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