Individual
LAKEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2441B COUNTY ROAD 501, RIPLEY, MS 38663-9677
(662) 837-8154
Mailing address
20651 HIGHWAY 4 E, RIPLEY, MS 38663-2205
(662) 587-6305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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