Individual
MS. SHONNETTA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S COLLEGE RD STE 100, LAFAYETTE, LA 70503-3213
(337) 264-9282
Mailing address
1217 ROSS AVE, CROWLEY, LA 70526-3466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
104100000X
Social Worker
Primary
19639
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/17/2017
Last updated
02/02/2026
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