person
Ms. Dominique Green
Professional Counselor in Marietta, Georgia
NPI 1053174664

Dominique Green is a Professional Counselor based in Duluth, GA and is specialized in Professional. Dominique Green practices in Marietta, GA. The NPI Number for Dominique Green is 1053174664 and holds a License No. APC009183 (Georgia).

The current practice location address for Dominique Green is 50 Whitlock Pl Sw, Marietta, GA and can be reached out via phone at 404-369-0816.

Location: 50 Whitlock Pl Sw, Marietta, GA, 30096-4058
person
Provider Profile Details
NPI Number
1053174664
Provider Name
Dominique Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
50 Whitlock Pl Sw, Marietta, GA, 30096-4058
Phone Number
404-369-0816
Fax Number
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 Whitlock Pl Sw
City
State
Zip
30064-3164
Phone Number
404-369-0816
Fax Number
person
Provider Business Mailing Address Details
Address
50 Whitlock Pl Sw
City
State
Zip
30064-3164
Phone Number
404-369-0816
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
APC009183 (Georgia)
Definition
Definition to come...
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