EBONY GREEN

ALEXANDRIA, LA
NPI1326419144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  PLC9300)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: LA  PLC9300)
Enumeration Date2015-10-20
Last Update Date2024-05-17
Business Address
EBONY GREEN
2002 GUS KAPLAN DR
ALEXANDRIA, LA 71301
Phone number: 318-709-6053
Mailing Address
EBONY GREEN
PO BOX 401
POLLOCK, LA 71467-0401
Phone number:
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