Individual
KERRI D. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 519-0779
Mailing address
4801 LANG AVE NE SUITE 110, PMB 3041, ALBUQUERQUE, NM 87109
(505) 519-0779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
CTB-2023-0299
NM
106H00000X
Marriage & Family Therapist
LMFT100413
CA
Other
Enumeration date
09/26/2013
Last updated
04/11/2026
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