Individual
ALICIA RENEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10269
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/21/2021
Last updated
08/25/2021
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