Individual
ALIYAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E HICKS ST, LAWRENCEVILLE, VA 23868-1830
(434) 313-9689
(804) 373-8118
Mailing address
102 E HICKS ST, LAWRENCEVILLE, VA 23868-1830
(434) 313-9689
(804) 373-8118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013772
VA
Other
Enumeration date
09/06/2022
Last updated
09/08/2022
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