Shontanae Imani Green, MS, LPC, NCC

NPI #1134885411 in Grovetown, Georgia

Provider Information

NPI Number
1134885411
Entity Type
Individual
Name
Shontanae Imani Green, MS, LPC, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MS, LPC, NCC
Enumeration Date
Nov 11, 2021
Last Updated
Sep 19, 2023

Practice Location

Address
247 SASSAFRAS LN
State
Georgia
ZIP Code
30813-7300
Phone
(706) 631-1882

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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