Individual
MRS. JESSICA MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC ATR-BC, CTT, BSL
Contact information
Practice address
1891 SANTA BARBARA DR STE 102, LANCASTER, PA 17601-4106
(717) 936-9758
(717) 618-6730
Mailing address
1891 SANTA BARBARA DR STE 102, LANCASTER, PA 17601-4106
(717) 936-9758
(717) 618-6730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH001296
PA
101YP2500X
Professional Counselor
Primary
PC008159
PA
Other
Enumeration date
02/09/2015
Last updated
08/08/2024
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