person
Jacqueline B. Green, LPC
Mental Health Counselor in Valdosta, Georgia
NPI 1083772495

Jacqueline B. Green is a Mental Health Counselor based in Valdosta, GA and is specialized in Mental Health. Jacqueline B. Green practices in Valdosta, GA and has the professional credentials of LPC. The NPI Number for Jacqueline B. Green is 1083772495 and holds a License No. 001586 (Georgia).

The current practice location address for Jacqueline B. Green is 2517 Bemiss Rd, Valdosta, GA and can be reached out via phone at 229-245-0330 and via fax at 866-738-7755.

Location: 2517 Bemiss Rd, Valdosta, GA, 31602-2069
person
Provider Profile Details
NPI Number
1083772495
Provider Name
Jacqueline B. Green
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2517 Bemiss Rd, Valdosta, GA, 31602-2069
Phone Number
229-245-0330
Fax Number
866-738-7755
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2517 Bemiss Rd
City
State
Zip
31602-1963
Phone Number
229-245-0330
Fax Number
866-738-7755
person
Provider Business Mailing Address Details
Address
2517 Bemiss Rd
City
State
Zip
31602-1963
Phone Number
229-245-0330
Fax Number
866-738-7755
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
001586 (Georgia)
Definition
Definition to come...
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