Individual
TIFFANY NOEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(862) 237-6791
(888) 307-5343
Mailing address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(862) 237-6791
(888) 307-5343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011804
VA
101YM0800X
Mental Health Counselor
37AC00396700
NJ
101YM0800X
Mental Health Counselor
APCC5972
CA
Other
Enumeration date
08/05/2021
Last updated
03/21/2023
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