person
Tita Marie Green, MS
Professional Counselor in Marietta, Georgia
NPI 1548526866

Tita Marie Green is a Professional Counselor based in Mableton, GA and is specialized in Professional. Tita Marie Green practices in Marietta, GA and has the professional credentials of MS. The NPI Number for Tita Marie Green is 1548526866 and holds a License No. LPC006928 (Georgia).

The current practice location address for Tita Marie Green is 707 Whitlock Ave Sw, Marietta, GA and can be reached out via phone at 678-396-2279 and via fax at 678-945-7713.

Location: 707 Whitlock Ave Sw, Marietta, GA, 30126-1017
person
Provider Profile Details
NPI Number
1548526866
Provider Name
Tita Marie Green
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
707 Whitlock Ave Sw, Marietta, GA, 30126-1017
Phone Number
678-396-2279
Fax Number
678-945-7713
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Whitlock Ave Sw
City
State
Zip
30064-3000
Phone Number
678-396-2279
Fax Number
678-945-7713
person
Provider Business Mailing Address Details
Address
707 Whitlock Ave Sw
City
State
Zip
30064-3000
Phone Number
678-396-2279
Fax Number
678-945-7713
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC006928 (Georgia)
Definition
Definition to come...
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