Individual
MR. HARRY TROY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
207 ELK AVE S, STE C, FAYETTEVILLE, TN 37334-3051
(931) 438-8381
(931) 438-3382
Mailing address
207 ELK AVE S, STE C, FAYETTEVILLE, TN 37334-3051
(931) 438-8381
(931) 438-3382
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000000541
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4128033
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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