Organization
LG COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GREEN LMFT (OWNDER)
(352) 210-8753
Entity
Organization
Contact information
Practice address
1521 NW 34TH ST, GAINESVILLE, FL 32605-5033
(352) 436-1991
Mailing address
6424 SW 37TH WAY, GAINESVILLE, FL 32608-5137
(352) 210-8753
(866) 321-9367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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