Individual
SHELITHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 789-4393
Mailing address
1202 CEE RAY DR, MONROE, LA 71201-5446
(318) 789-4393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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