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Stephanie Green
Professional Counselor in South Boston, Virginia
NPI 1366895328

Stephanie Green is a Professional Counselor based in South Boston, VA and is specialized in Professional. Stephanie Green practices in South Boston, VA. The NPI Number for Stephanie Green is 1366895328 and holds a License No. 0701006696 (Virginia).

The current practice location address for Stephanie Green is 554 N Main St Ste 104, South Boston, VA and can be reached out via phone at 434-470-7995.

Location: 554 N Main St Ste 104, South Boston, VA, 24592-0088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366895328
Provider Name
Stephanie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
554 N Main St Ste 104, South Boston, VA, 24592-0088
Phone Number
434-470-7995
Fax Number
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
554 N Main St Ste 104
City
South Boston
State
Virginia
Zip
24592-3283
Phone Number
434-470-7995
Fax Number
person
Provider Business Mailing Address Details
Address
554 N Main St Ste 104
City
South Boston
State
Virginia
Zip
24592-3283
Phone Number
434-470-7995
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701006696 (Virginia)
Definition
Definition to come...
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