Individual
MS. DARRYLA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4060 NW HOUSTON PL, CORVALLIS, OR 97330-1722
(541) 757-2084
Mailing address
4060 NW HOUSTON PL, CORVALLIS, OR 97330-1722
(541) 757-2084
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0504
OR
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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