Individual
MELINDA GAIL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC- I, LPC STUDENT
Contact information
Practice address
1837 W MAIN ST, GUN BARREL CITY, TX 75156-4401
(903) 910-2294
Mailing address
8244 COTTONWOOD LN, TERRELL, TX 75160-7401
(254) 423-9378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2021
Last updated
03/15/2021
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