Individual
HEATHER MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 SHADY LN, TOCCOA, GA 30577-8149
(706) 244-6779
Mailing address
504 SHADY LN, TOCCOA, GA 30577-8149
(706) 244-6779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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