| Doctor Name: | MISS JOLONDA TOMEKA GREENE |
| NPI Number: | 1164555157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, LPC, NCC |
| License Number: | LPC004482 |
| Business Practice Address: | 445 Elma G Miles Pkwy Suite 106 Hinesville, GA - 313133230 |
| Business Phone Number: | 9125726353 |
| Business Fax Number: | 9129207620 |
| Mailing Address: | Po Box 532, HINESVILLE |
| State: | GA |
| Postal Code: | 313100532 |
| Phone Number: | 9125726353 |
| Fax Number: | 9129207620 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC004482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |