Individual
MONICA LELA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO60928239
Contact information
Practice address
910 W BOONE AVE STE 201, SPOKANE, WA 99201-2525
(509) 325-7232
Mailing address
910 W BOONE AVE STE 201, SPOKANE, WA 99201-2525
(509) 325-7232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60928239
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WA
Enumeration date
03/20/2019
Last updated
03/20/2019
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