Individual
GABRIELLE LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 DAWN DR STE 101, GEORGETOWN, TX 78628-2878
(512) 522-4280
Mailing address
2995 DAWN DR STE 101, GEORGETOWN, TX 78628-2878
(734) 730-2605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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