Individual
NICOLE LEIGH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LPCC
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC05028
MN
Other
Enumeration date
10/19/2021
Last updated
08/14/2025
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