Individual
MRS. CHRISTINE JEWEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CYMAN DR, CHICOPEE, MA 01013-3023
(413) 374-7478
Mailing address
77 CYMAN DR, CHICOPEE, MA 01013-3023
(413) 374-7478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
164W00000X
Licensed Practical Nurse
LN96634
MA
Other
Enumeration date
06/24/2021
Last updated
09/11/2023
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