JACQUELINE B. GREEN LPC NPI 1083772495

NPI Information

NPI: 1083772495
Provider Name: JACQUELINE B. GREEN, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2517 BEMISS RD
SUITE C-1
VALDOSTA, GA
ZIP 31602
Phone: (229) 245-0330
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Jacqueline B. Green, LPC is a mental health counselor in Valdosta, GA. Jacqueline B. Green, LPC NPI is 1083772495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2517 BEMISS RD
SUITE C-1
VALDOSTA, GA
ZIP 31602-963
Phone: (229) 245-0330
Fax: (866) 738-7755

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	001586	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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