Individual
CARNETTA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. NCC QMHP
Contact information
Practice address
15325 OAK ST, DOLTON, IL 60419-2646
(773) 844-1117
Mailing address
15325 OAK ST, DOLTON, IL 60419-2646
(773) 844-1117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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