Individual
TANIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1805 AIRLINE BLVD, PORTSMOUTH, VA 23707-3912
(203) 524-3775
Mailing address
5589 DUNLOE DR APT 201, VIRGINIA BEACH, VA 23455-3192
(203) 524-3775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014028
VA
Other
Enumeration date
07/21/2020
Last updated
12/10/2025
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