Individual
PAMELA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8400 S KYRENE RD STE 227, TEMPE, AZ 85284-2177
(602) 919-5685
Mailing address
8400 S KYRENE RD STE 227, TEMPE, AZ 85284-2177
(602) 919-5685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16177
AZ
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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