Individual
MADELEINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
(317) 520-8200
Mailing address
1205 VETERANS WAY, CARMEL, IN 46032-3563
(317) 775-9901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-20-134075
IN
Other
Enumeration date
11/17/2020
Last updated
10/09/2023
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