person
Roy Donzell Green, LPC
Professional Counselor in Petersburg, Virginia
NPI 1265104061

Roy Donzell Green is a Professional Counselor based in South Chesterfield, VA and is specialized in Professional. Roy Donzell Green practices in Petersburg, VA and has the professional credentials of LPC. The NPI Number for Roy Donzell Green is 1265104061 and holds a License No. 0701004232 (Virginia).

The current practice location address for Roy Donzell Green is 20 W Bank St, Petersburg, VA and can be reached out via phone at 804-862-8002 and via fax at 804-862-6480.

Location: 20 W Bank St, Petersburg, VA, 23834-5161
person
Provider Profile Details
NPI Number
1265104061
Provider Name
Roy Donzell Green
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
20 W Bank St, Petersburg, VA, 23834-5161
Phone Number
804-862-8002
Fax Number
804-862-6480
Provider Enumeration Date
09/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701004232 01 VA BOARD OF COUNSELING
institution
Provider Business Practice Location Address Details
Address
20 W Bank St
City
State
Zip
23803-3279
Phone Number
804-862-8002
Fax Number
804-862-6480
person
Provider Business Mailing Address Details
Address
20 W Bank St
City
State
Zip
23803-3279
Phone Number
804-862-8002
Fax Number
804-862-6480
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701004232 (Virginia)
Definition
Definition to come...
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