Individual provider · Type 1 NPI

Stephoneikka Wilshee Green

Mental Health Counselor · Vidalia, LA

NPI number 1871012070 Active

Practice location

204 Airport Rd
Vidalia, LA 71373-3449

Call (318) 323-1300 Map

Fax (318) 323-1400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871012070

Stephoneikka Wilshee Green's National Provider Identifier is 1871012070, issued on Sep 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vidalia, LA. The record was last updated on Jul 21, 2022.