Individual
ERIC MELVIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2038 24TH AVE. SE, NORMAN, OK 73071
(301) 704-1270
(405) 310-2367
Mailing address
2038 24TH AVE SE, NORMAN, OK 73071-1030
(301) 704-1270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/12/2018
Last updated
04/29/2024
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