Individual
DIANE J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
(757) 253-4371
Mailing address
201 BRITTANIA DR, WILLIAMSBURG, VA 23185-5789
(757) 220-3200
(757) 253-4371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004798
VA
Other
Enumeration date
06/21/2010
Last updated
11/04/2021
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