Individual
MR. DARYL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LMFT NCC
Contact information
Practice address
1805 FLORENCE RD, SUITE 10, KILLEEN, TX 76541-8523
(254) 526-5389
(254) 526-4853
Mailing address
PO BOX 416, TEMPLE, TX 76503-0416
(254) 774-8806
(254) 774-9672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13560
TX
106H00000X
Marriage & Family Therapist
Primary
4672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027164502
—
TX
01
—
13560
LPC LICENSE NUMBER
TX
01
—
4672
LMFT LICENSE
TX
Enumeration date
12/07/2006
Last updated
10/21/2009
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