Individual
MELISSA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7650 SW 128TH ST, PINECREST, FL 33156-6104
(305) 979-4580
Mailing address
7650 SW 128TH ST, PINECREST, FL 33156-6104
(305) 979-4580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007074
GA
Other
Enumeration date
11/06/2023
Last updated
11/08/2023
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