Individual
AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4895 DRESSLER RD NW, CANTON, OH 44718-2571
(330) 493-0083
Mailing address
4895 DRESSLER RD NW, CANTON, OH 44718-2571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/26/2019
Last updated
08/09/2023
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