Individual
MS. LANA DANIELLE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
(770) 516-1300
Mailing address
237 STATION WAY, ADAIRSVILLE, GA 30103-6343
(678) 469-0349
(770) 773-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006484
GA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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