Individual
EMILY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
630 ELM ST, WEST BEND, WI 53095-3229
(262) 338-1661
Mailing address
630 ELM ST, WEST BEND, WI 53095-3229
(262) 338-1661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6138-125
WI
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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