JACQUELINE B. GREEN

VALDOSTA, GA
NPI1083772495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  001586)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- JACQUELINE B. GREEN LPC
2517 BEMISS RD SUITE C-1
VALDOSTA, GA 31602-1963
Phone number: 229-245-0330
Mailing Address
-- JACQUELINE B. GREEN LPC
2913 MELROSE DR
VALDOSTA, GA 31602-2069
Phone number: 229-245-7009