Individual
MR. CHRISTOPHER KYLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
650 HENDERSON DR STE 406, CARTERSVILLE, GA 30120-3758
(770) 334-2493
Mailing address
123 TREELINE TRL, CANTON, GA 30115-0004
(706) 512-5387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598032146
A HEALING JOURNEY COUNSELING & CONSULTING
GA
Enumeration date
12/17/2020
Last updated
12/17/2020
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