Individual
TAMEKA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 PHOENIX BLVD STE 305, ATLANTA, GA 30349-5534
(678) 575-3611
Mailing address
1441 WOODMONT LN NW # 157, ATLANTA, GA 30318-2866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0948
GA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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