Individual
MR. ROBERT LAWRENCE GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
1233 SHELBURNE ROAD, SUITE D 4, SOUTH BURLINGTON, VT 05403-7753
(802) 658-2390
Mailing address
1233 SHELBURNE ROAD, SUITE D 4, SOUTH BURLINGTON, VT 05403-7753
(802) 658-2390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000015
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006850
—
VT
05
—
30423776
—
NH
01
—
347880
MVP
—
01
—
5062
BCBS
VT
Enumeration date
03/30/2006
Last updated
07/08/2007
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