Individual
DAWN MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
524 CLEVELAND BLVD, CALDWELL, ID 83605-4076
(208) 960-7171
Mailing address
2587 S SKYVIEW DR, NAMPA, ID 83686-8761
(208) 989-8910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10107
ID
Other
Enumeration date
01/01/2024
Last updated
09/17/2024
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