Individual provider · Type 1 NPI

Gwendolyn Green

Mental Health Counselor · Tampa, FL

NPI number 1588060651 Active

Practice location

5109 N Nebraska Ave
Tampa, FL 33603-2301

Call (813) 238-8557 Map

Fax (813) 232-2009

Mailing address

18135 Bahama Bay Dr
Tampa, FL 33647-3459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH10951 (FL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1588060651

Gwendolyn Green's National Provider Identifier is 1588060651, issued on Nov 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Nov 17, 2014.