person
Shontanae Imani Green, MS,LPC,NCC
Mental Health Counselor in Grovetown, Georgia
NPI 1134885411

Shontanae Imani Green is a Mental Health Counselor based in Grovetown, GA and is specialized in Mental Health. Shontanae Imani Green practices in Grovetown, GA and has the professional credentials of MS,LPC,NCC. The NPI Number for Shontanae Imani Green is 1134885411 and holds a License No. LPC014138 (Georgia).

The current practice location address for Shontanae Imani Green is 247 Sassafras Ln, Grovetown, GA and can be reached out via phone at 706-631-1882.

Location: 247 Sassafras Ln, Grovetown, GA, 30813-7300
person
Provider Profile Details
NPI Number
1134885411
Provider Name
Shontanae Imani Green
Credential
MS,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
247 Sassafras Ln, Grovetown, GA, 30813-7300
Phone Number
706-631-1882
Fax Number
Provider Enumeration Date
11/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
247 Sassafras Ln
City
State
Zip
30813-7300
Phone Number
706-631-1882
Fax Number
person
Provider Business Mailing Address Details
Address
247 Sassafras Ln
City
State
Zip
30813-7300
Phone Number
706-631-1882
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC014138 (Georgia)
Definition
Definition to come...
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