Individual
CURT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 E JEFFERSON AVE, BASTROP, LA 71220
(318) 239-3862
(318) 239-3867
Mailing address
644 E JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 239-3862
(318) 239-3867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
07/03/2018
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