Individual
TRAVENA TAYLOR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
(586) 771-7142
Mailing address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
(586) 771-7142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011489
MI
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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