Individual
CAROL R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 SEARS AVE, SUITE 274, LOUISVILLE, KY 40207-5059
(502) 893-1913
(502) 893-7195
Mailing address
173 SEARS AVE, SUITE 274, LOUISVILLE, KY 40207-5059
(502) 893-1913
(502) 893-7195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0016
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016
FEE BASED COUNSELOR
KY
Enumeration date
12/16/2006
Last updated
07/08/2007
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