Individual
LATOYA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19709 THELMA AVE, SOUTH CHESTERFIELD, VA 23803-2553
(804) 721-3255
Mailing address
19709 THELMA AVE, SOUTH CHESTERFIELD, VA 23803-2553
(804) 721-3255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81-1549335
VA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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