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Individual

ANITA J GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
Mailing address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121744
IA
101YP2500X
Professional Counselor
2026001291
MO
101YP2500X
Professional Counselor
88187
TX

Other

Enumeration date
09/12/2023
Last updated
04/07/2026
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