Organization
GREEN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH GREEN LAC (OWNER, COUNSELOR)
(970) 599-1015
Entity
Organization
Contact information
Practice address
4515 HIBISCUS ST, FORT COLLINS, CO 80526-4137
(970) 599-1015
Mailing address
PO BOX 270918, FORT COLLINS, CO 80527-0918
(970) 599-1015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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