Individual
RACQUEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4686 GROOM RD, SUITE D, BAKER, LA 70714-3067
(225) 218-4444
(225) 448-3000
Mailing address
4686 GROOM RD, SUITE D, BAKER, LA 70714-3067
(225) 218-4444
(225) 448-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
06/06/2016
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