Candace Lavern Green, RESIDENT

NPI #1598502320 in Va Beach, Virginia

Provider Information

NPI Number
1598502320
Entity Type
Individual
Name
Candace Lavern Green, RESIDENT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
RESIDENT
Enumeration Date
Jul 10, 2024
Last Updated
Jul 10, 2024

Practice Location

Address
291 INDEPENDENCE BLVD BLDG 4
ZIP Code
23462-5481
Phone
(757) 593-9971

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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