Individual
MOLLY JANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4121 UNION RD STE 225, SAINT LOUIS, MO 63129-1093
(314) 730-6787
(314) 730-6585
Mailing address
4121 UNION RD STE 225, SAINT LOUIS, MO 63129-1093
(314) 730-6787
(314) 730-6585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018029026
MO
101YP2500X
Professional Counselor
180007619
IL
101YP2500X
Professional Counselor
Primary
2018029026
MO
Other
Enumeration date
09/06/2011
Last updated
04/10/2026
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