Individual provider · Type 1 NPI

Asya Tierra Green

Mental Health Counselor · Tupelo, MS

NPI number 1457694192 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Call (662) 842-9217 Map

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457694192

Asya Tierra Green's National Provider Identifier is 1457694192, issued on Apr 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Apr 1, 2013.