Individual
MR. KIP L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
8310 2ND AVE S, MORRIS, AL 35116-1420
(205) 572-1090
Mailing address
8310 2ND AVE S, MORRIS, AL 35116-1420
(205) 572-1090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4009
AL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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