Individual
KATHRYN T. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2127 S HERRON DR, NAMPA, ID 83686-5342
(208) 342-8347
Mailing address
2127 S HERRON DR, NAMPA, ID 83686-5342
(208) 342-8347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LCPC-124
ID
101YP2500X
Professional Counselor
124
ID
Other
Enumeration date
03/22/2007
Last updated
02/12/2024
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