Individual
HELENA VICTORIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, DIPL.M.O.
Contact information
Practice address
14710 NE 396TH ST, AMBOY, WA 98601-3119
(360) 241-5617
Mailing address
14710 NE 396TH ST, AMBOY, WA 98601-3119
(360) 241-5617
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
WA00093107
WA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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