Individual
MS. RENETTA DENISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
FORT JACKSON/ACS 9810 LEE ST, COLUMBIA, SC 29207
(803) 237-6408
Mailing address
2 HIGH GLEN CT, COLUMBIA, SC 29229-7727
(803) 237-6408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6129
SC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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