Jeri Sansom Green, MS, LPC Valid NPI
Individual provider · Professional Counselor · Suwanee, GA
- NPI
- 1073818845
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC004176 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-01-25
- Last updated
- 2011-01-25
Practice location
5400 Laurel Springs Pkwy Ste 602
Suwanee, GA 30024-6067
(678) 213-2194