Individual
KAREN TORRY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, LCSW
Contact information
Practice address
777 E WILLIAM ST, CARSON CITY, NV 89701-4056
(602) 909-1710
Mailing address
1894 E WILLIAM ST # 4-496, CARSON CITY, NV 89701-3224
(602) 909-1710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7579C
NV
1041C0700X
Clinical Social Worker
LCSW103290
CA
1041C0700X
Clinical Social Worker
LCSW10653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11575602
CAQH
—
01
—
1255591400
NPPES
—
05
—
250006318
—
NV
05
—
838526
—
AZ
Enumeration date
06/27/2006
Last updated
02/21/2022
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