Individual
MS. SHEILA C GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
803 BRISCO AVE, BASTROP, LA 71220-5161
(318) 974-6035
(318) 515-0019
Mailing address
2105 GEMINI DR, BASTROP, LA 71220-3468
(318) 282-2395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2854
LA
106H00000X
Marriage & Family Therapist
213
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3941503
—
LA
Enumeration date
02/04/2013
Last updated
12/09/2022
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