Individual
ANGIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
540 US 31, GREENWOOD, IN 46142-3052
(317) 554-7059
Mailing address
540 US 31, GREENWOOD, IN 46142-3052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003868A
IN
Other
Enumeration date
07/02/2018
Last updated
07/05/2022
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