Individual
MS. PAULA DANETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
127 MESA VERDE ST STE A, SANTA FE, NM 87501-1729
(208) 283-6365
Mailing address
127 MESA VERDE ST STE A, SANTA FE, NM 87501-1729
(208) 283-6365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4139
ID
101YP2500X
Professional Counselor
Primary
LPC0021417
CO
Other
Enumeration date
05/26/2006
Last updated
03/14/2025
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