Individual provider · Type 1 NPI

Stephanie Green

Professional Counselor · South Boston, VA

NPI number 1366895328 Active

Practice location

554 N Main St Ste 104
South Boston, VA 24592-3283

Call (434) 470-7995 Map

Mailing address

PO Box 88
South Boston, VA 24592-0088

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701006696 (VA)

Professional Counselor: Definition to come...

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About NPI 1366895328

Stephanie Green's National Provider Identifier is 1366895328, issued on Jul 14, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Boston, VA. The record was last updated on Jan 9, 2017.