Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zandral Kewan Green

Individual provider Mental Health Counselor · NPI 1124643069

Zandral Kewan Green is a Mental Health Counselor in Vicksburg, Mississippi. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3442 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 634-0181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1124643069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

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