Individual
JERI SANSOM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5400 LAUREL SPRINGS PKWY STE 602, SUWANEE, GA 30024-6067
(678) 213-2194
Mailing address
5400 LAUREL SPRINGS PKWY STE 602, SUWANEE, GA 30024-6067
(678) 213-2194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004176
GA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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