Individual
JENISE TEHVON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 OVER LAKE DR SE STE D, CONYERS, GA 30013-6608
(678) 213-2194
Mailing address
1808 OVER LAKE DR SE STE D, CONYERS, GA 30013-6608
(404) 273-8504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013548
GA
Other
Enumeration date
12/08/2022
Last updated
02/16/2023
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