Individual
AUDREY GREEN-CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 CENTRAL LN, TIFTON, GA 31794-4423
(804) 869-1096
Mailing address
2823 RAINWATER RD, TIFTON, GA 31793-5700
(804) 869-1096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003962
VA
101YP2500X
Professional Counselor
Primary
LPC009467
GA
Other
Enumeration date
12/15/2006
Last updated
12/09/2023
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