Individual
SHARON VINCENTINE GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
612 HERMAN ST, RAPID CITY, SD 57701-1531
(605) 343-6316
(605) 718-9206
Mailing address
612 HERMAN ST, RAPID CITY, SD 57701-1531
(605) 343-6316
(605) 718-9206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9607782
SD
101YM0800X
Mental Health Counselor
530
SD
101YP2500X
Professional Counselor
Primary
530
SD
Other
Enumeration date
08/25/2005
Last updated
09/11/2025
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