Individual
JESICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MFT INTERN
Contact information
Practice address
705 GATE LN STE 202, KNOXVILLE, TN 37909-3521
(865) 268-9653
Mailing address
2819 NILES FERRY RD, VONORE, TN 37885-2640
(423) 557-8610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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