Individual
MRS. KEBA JANINE RICHMOND GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC, NCC
Contact information
Practice address
3883 ROGERS BRIDGE RD STE 202A, DULUTH, GA 30097-2803
(770) 904-9921
Mailing address
3343 PEACHTREE RD NE STE 145-1358, ATLANTA, GA 30326-1085
(404) 399-6308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8933
SC
101Y00000X
Counselor
LPC012998
GA
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2013
Last updated
10/16/2023
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