Jacqueline B. Green, LPC

NPI #1083772495 in Valdosta, Georgia

Provider Information

NPI Number: 1083772495
Entity Type: Individual
Name: Jacqueline B. Green, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2517 BEMISS RD
Address 2: SUITE C-1
City: Valdosta
State: Georgia
ZIP Code: 31602-1963
Phone: (229) 245-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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