Individual
LISA CARTER GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 BROWNING PT, BYRON, GA 31008-9534
(478) 714-9318
(478) 475-9492
Mailing address
106 BROWNING PT, BYRON, GA 31008-9534
(478) 714-9318
(478) 333-6531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006415
GA
Other
Enumeration date
04/13/2012
Last updated
05/06/2019
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