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Gary Green
Professional Counselor in Lawrenceville, Georgia
NPI 1427532761

Gary Green is a Professional Counselor based in Lawrenceville, GA and is specialized in Professional. Gary Green practices in Lawrenceville, GA. The NPI Number for Gary Green is 1427532761 and holds a License No. APC005861 (Georgia).

The current practice location address for Gary Green is 474 Allen Dr, Lawrenceville, GA and can be reached out via phone at 678-373-5059.

Location: 474 Allen Dr, Lawrenceville, GA, 30043-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427532761
Provider Name
Gary Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
474 Allen Dr, Lawrenceville, GA, 30043-3700
Phone Number
678-373-5059
Fax Number
Provider Enumeration Date
09/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
474 Allen Dr
City
Lawrenceville
State
Georgia
Zip
30043-3700
Phone Number
678-373-5059
Fax Number
person
Provider Business Mailing Address Details
Address
474 Allen Dr
City
Lawrenceville
State
Georgia
Zip
30043-3700
Phone Number
678-373-5059
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC011779 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
APC005861 (Georgia)
Definition
Definition to come...
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