Individual
MS. SHANEESHA DENISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 SUNDAY DR, AUSTIN, TX 78747-2775
(737) 277-7258
Mailing address
PO BOX 672, WAELDER, TX 78959-0672
(737) 277-7258
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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