Individual
HALLIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2676 W STATE ST, OLEAN, NY 14760-1825
(716) 790-8202
Mailing address
2676 W STATE ST, OLEAN, NY 14760-1825
(716) 790-8202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
010196
NY
101YP2500X
Professional Counselor
PC012481
PA
101YP2500X
Professional Counselor
TPMC5177
FL
Other
Enumeration date
03/11/2020
Last updated
11/13/2024
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