Individual
HALYSSA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
612 VILLAGE SQUARE DR, HAZELWOOD, MO 63042-3312
(314) 974-2713
Mailing address
612 VILLAGE SQUARE DR, HAZELWOOD, MO 63042-3312
(314) 974-2713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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