Individual
MARVIN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 MARINERS PLAZA DR STE 601, MANDEVILLE, LA 70448-6827
(985) 465-4250
Mailing address
8310 WOODBEND DR, SEMMES, AL 36575-8507
(251) 622-8480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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