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Individual

CANDICE MICHELLE GREEN

Active
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Individual

CANDICE MICHELLE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0017454
CO
101YM0800X
Mental Health Counselor
100100
TX
101YM0800X
Mental Health Counselor
5437
OK
101YM0800X
Mental Health Counselor
E.2505556
NJ
101YM0800X
Mental Health Counselor
E.2505556
OH
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
06/05/2010
Last updated
10/02/2025
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