Individual
CHELSEA E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP-R
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 589-4046
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 589-4046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
01/08/2024
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