Individual
KIMBERLY MICHELE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Mailing address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007734
VA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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