Individual provider · Type 1 NPI

Roy Donzell Green, LPC

Professional Counselor · Petersburg, VA

NPI number 1265104061 Active

Practice location

20 W Bank St
Petersburg, VA 23803-3279

Call (804) 862-8002 Map

Fax (804) 862-6480

Mailing address

15513 Silvertree Ln
South Chesterfield, VA 23834-5161

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004232 (VA)

Professional Counselor: Definition to come...

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About NPI 1265104061

Roy Donzell Green, LPC's National Provider Identifier is 1265104061, issued on Sep 30, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Petersburg, VA. The record was last updated on Sep 30, 2021.