Individual
MRS. MARY ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, RD, LD
Contact information
Practice address
1010 4TH AVE N, NASHVILLE, TN 37219-1110
(615) 724-0865
(615) 724-0871
Mailing address
1010 4TH AVE N, NASHVILLE, TN 37219-1110
(615) 724-0865
(615) 724-0871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006148
GA
133V00000X
Registered Dietitian
LD002780
GA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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