Individual provider · Type 1 NPI

Latia Chanell Green, M.ED, LPC, LCDC

Professional Counselor · Lubbock, TX

NPI number 1881209633 Active

Practice location

6313 13th St
Lubbock, TX 79416-5940

Call (806) 441-3892 Map

Mailing address

4204 49th St
Lubbock, TX 79413-3722

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X14060 (TX)
Professional Counselor Primary 101YP2500X79877 (TX)

Professional Counselor: Definition to come...

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About NPI 1881209633

Latia Chanell Green, M.ED, LPC, LCDC's National Provider Identifier is 1881209633, issued on Sep 9, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on Dec 1, 2022.