Individual
TAMMI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2352 MSR, EUREKA, MT 59917-9418
(360) 270-5835
Mailing address
295 SPARKMAN RD, MCMINNVILLE, TN 37110-7670
(360) 270-5835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
50258
MT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/27/2019
Last updated
11/17/2023
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