Individual
COLBY J GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
530 E 34TH ST, JOPLIN, MO 64804-3924
(417) 347-7530
(417) 347-7539
Mailing address
3011 S EILER AVE, JOPLIN, MO 64804-9101
(417) 781-7527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006034060
MO
Other
Enumeration date
11/09/2006
Last updated
09/13/2007
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