Individual
DANIELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 OAK DR, VIOLET, LA 70092-3742
(504) 758-9966
Mailing address
2808 OAK DR, VIOLET, LA 70092-3742
(504) 758-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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