Individual
AMANDA ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC, LMFT
Contact information
Practice address
2728 E CHESTNUT EXPY, SPRINGFIELD, MO 65802-2555
(417) 848-1756
Mailing address
2160 STATE HWY Z, HALFWAY, MO 65663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2023044670
MO
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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