Individual
MS. LAURA E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWICA, SUDP
Contact information
Practice address
41 E EBERHART LN, ALLYN, WA 98524-8900
(501) 438-9455
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(501) 438-9455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61064444
WA
1041C0700X
Clinical Social Worker
Primary
SC61579622
WA
Other
Enumeration date
06/25/2020
Last updated
03/07/2025
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