# GREEN COUNSELING, LLC

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

## Provider details

- **NPI number:** 1679242499
- **Authorized official:** MARYBETH GREEN LAC (OWNER, COUNSELOR)
- **Authorized official phone:** (970) 599-1015

## Contact information

- **Practice address:** 4515 HIBISCUS ST, FORT COLLINS, CO 80526-4137
- **Practice address phone:** (970) 599-1015
- **Mailing address:** PO BOX 270918, FORT COLLINS, CO 80527-0918
- **Mailing address phone:** (970) 599-1015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2021
- **Last updated:** 09/07/2021