Individual
DEBORA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
39425 GARFIELD RD, SUITE 23, CLINTON TOWNSHIP, MI 48038-4650
(800) 693-1916
Mailing address
35431 HICKORY WOODS DR, 8, CLINTON TOWNSHIP, MI 48035-5143
(586) 489-0529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011699
MI
101YM0800X
Mental Health Counselor
6401011699
MI
Other
Enumeration date
03/06/2017
Last updated
10/01/2018
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