Individual
MRS. CHRISTEN L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 DIPTERA LN, FAIRBURN, GA 30213-6509
(281) 901-4717
Mailing address
4700 DIPTERA LN, FAIRBURN, GA 30213-6509
(470) 629-2868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
251B00000X
Case Management Agency
—
GA
251S00000X
Community/Behavioral Health Agency
—
GA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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