Individual
BREANNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9661
(225) 223-6968
Mailing address
9015 PECAN TREE DR, BATON ROUGE, LA 70810-7041
(225) 371-0058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9815
LA
101YM0800X
Mental Health Counselor
Primary
PLC9815
LA
101YP2500X
Professional Counselor
Primary
9815
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/19/2019
Last updated
04/29/2026
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