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Individual

ALBERTINA LATRICE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
146 N MCDONOUGH ST, JONESBORO, GA 30236-3642
(943) 259-7684
Mailing address
836 OLD GREENVILLE RD, FAYETTEVILLE, GA 30215-5938
(943) 259-7684

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73348
TX
101YP2500X
Professional Counselor
LPC012633
GA

Other

Enumeration date
08/10/2017
Last updated
04/22/2026
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