Individual
JASMINE SHANETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2902 N HERRITAGE ST, KINSTON, NC 28501-1580
(252) 686-5020
Mailing address
3609 ORMONDSVILLE RD, AYDEN, NC 28513-7035
(252) 531-5682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21018
NC
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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