Individual
KATHRYN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
734 DEMUN AVE, CLAYTON, MO 63105
(314) 643-9712
Mailing address
3457 IOWA AVE, SAINT LOUIS, MO 63118-3021
(910) 495-3130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017013158
MO
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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