THEA A GREEN

RICHMOND, VA
NPI1346368636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0701004328)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0701004328)
101YP1600X Counselor, Pastoral
(Licence: VA  0701004328)
Enumeration Date2007-03-26
Last Update Date2012-12-19
Business Address
-- THEA A GREEN LPC
1351 BLACKROCK DR
RICHMOND, VA 23225-4101
Phone number: 804-882-6163
Mailing Address
-- THEA A GREEN LPC
1351 BLACKROCK DR
RICHMOND, VA 23225-4101
Phone number: 804-882-6163