Individual
REBECCA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 W CANDLER ST, WINDER, GA 30680-1733
(770) 246-2822
(770) 966-6995
Mailing address
142 SUMMIT VIEW DR., JEFFERSON, GA 30549
(404) 642-7613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013651
GA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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