Individual
MICHAEL ANDREW GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5115 F STREET, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
108 TRADERS POINTE CIR, COUNCIL BLUFFS, IA 51501-8546
(402) 216-1789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1819
NE
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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