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Individual

BRIAN L GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, LPC

Contact information

Practice address
17586 SW DODSON DR, SHERWOOD, OR 97140-8185
(608) 239-5120
(360) 252-8699
Mailing address
17586 SW DODSON DR, SHERWOOD, OR 97140-8185
(608) 239-5120
(360) 252-8699

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8627-125
WI
101YM0800X
Mental Health Counselor
Primary
C7806
OR
101YM0800X
Mental Health Counselor
LH60807062
WA

Other

Enumeration date
02/22/2016
Last updated
12/28/2023
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