Individual
SHANNON LARAY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 DALECREST DR UNIT 2109, LAS VEGAS, NV 89129-1769
(702) 448-9285
Mailing address
3800 DALECREST DR UNIT 2109, LAS VEGAS, NV 89129-1769
(702) 448-9285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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