Individual
JANE ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA-I
Contact information
Practice address
301 COLE ST, CORPUS CHRISTI, TX 78404-1927
(361) 549-3773
Mailing address
301 COLE ST, CORPUS CHRISTI, TX 78404-1927
(361) 549-3773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34339
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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