Individual provider · Type 1 NPI
Thea A. Green, LPC
Mental Health Counselor · Richmond, VA
NPI number
1346368636
Active
Practice location
1351 Blackrock Dr
Richmond, VA 23225-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0701004328 (VA) |
| Mental Health Counselor Primary | 101YM0800X | 0701004328 (VA) |
| Pastoral Counselor | 101YP1600X | 0701004328 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1346368636
Thea A. Green, LPC's National Provider Identifier is 1346368636, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, VA. The record was last updated on Dec 19, 2012.