Individual
GARY LEE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7200 DESIARD ST, MONROE, LA 71203-3913
(318) 345-8200
(318) 342-8049
Mailing address
10 WILSON RD, STOCKBRIDGE, GA 30281-4468
(770) 506-9575
(770) 506-9369
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4126
LA
101YP2500X
Professional Counselor
Primary
4343
GA
Other
Enumeration date
03/20/2008
Last updated
05/04/2009
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