# GREEN PEAKS COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033060025
- **Authorized official:** LIZA RYAN LICSW (OWNER)
- **Authorized official phone:** (716) 380-2541

## Contact information

- **Practice address:** 170 WILSON RD, JOHNSON, VT 05656-9817
- **Practice address phone:** (716) 380-2541
- **Mailing address:** 170 WILSON RD, JOHNSON, VT 05656-9817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2026
- **Last updated:** 02/05/2026