person
Latia Chanell Green, MED,LPC,LCDC
Professional Counselor in Lubbock, Texas
NPI 1881209633

Latia Chanell Green is a Professional Counselor based in Lubbock, TX and is specialized in Professional. Latia Chanell Green practices in Lubbock, TX and has the professional credentials of MED,LPC,LCDC. The NPI Number for Latia Chanell Green is 1881209633 and holds a License No. 14060 (Texas).

The current practice location address for Latia Chanell Green is 6313 13Th St, Lubbock, TX and can be reached out via phone at 806-441-3892.

Location: 6313 13Th St, Lubbock, TX, 79413-3722
person
Provider Profile Details
NPI Number
1881209633
Provider Name
Latia Chanell Green
Credential
MED,LPC,LCDC
Provider Entity Type
Individual
Gender
Female
Address
6313 13Th St, Lubbock, TX, 79413-3722
Phone Number
806-441-3892
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6313 13Th St
City
State
Zip
79416-5940
Phone Number
806-441-3892
Fax Number
person
Provider Business Mailing Address Details
Address
6313 13Th St
City
State
Zip
79416-5940
Phone Number
806-441-3892
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
79877 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14060 (Texas)
Definition
Definition to come...
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