ZANDRAL GREEN

Counselor - Mental Health

Active Individual
NPI: 1124643069

Practice Address

3442 WISCONSIN AVE
Vicksburg, MS 39180

Phone: (601) 634-0181

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1124643069 is the National Provider Identifier for ZANDRAL GREEN, a Counselor - Mental Health provider located in Vicksburg, MS. This NPI was enumerated on June 16, 2020.
ZANDRAL GREEN practices at 3442 WISCONSIN AVE, Vicksburg, MS 39180.

Quick Facts

NPI
1124643069
Type
Individual
Enumerated
Jun 16, 2020
Last Updated
Jun 30, 2020

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