Individual
CHELSEA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
274343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528516325
—
VA
05
—
7100789670
—
KY
Enumeration date
09/21/2016
Last updated
04/29/2025
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