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Gwendolyn Green
Mental Health Counselor in Tampa, Florida
NPI 1588060651

Gwendolyn Green is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Gwendolyn Green practices in Tampa, FL. The NPI Number for Gwendolyn Green is 1588060651 and holds a License No. MH10951 (Florida).

The current practice location address for Gwendolyn Green is 5109 N Nebraska Ave, Tampa, FL and can be reached out via phone at 813-238-8557 and via fax at 813-232-2009.

Location: 5109 N Nebraska Ave, Tampa, FL, 33647-3459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588060651
Provider Name
Gwendolyn Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
5109 N Nebraska Ave, Tampa, FL, 33647-3459
Phone Number
813-238-8557
Fax Number
813-232-2009
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700282969 05 FL
institution
Provider Business Practice Location Address Details
Address
5109 N Nebraska Ave
City
Tampa
State
Florida
Zip
33603-2301
Phone Number
813-238-8557
Fax Number
813-232-2009
person
Provider Business Mailing Address Details
Address
5109 N Nebraska Ave
City
Tampa
State
Florida
Zip
33603-2301
Phone Number
813-238-8557
Fax Number
813-232-2009
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH10951 (Florida)
Definition
Definition to come...
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