Individual
DESIREE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC,AMAC
Contact information
Practice address
1088 E 390 S, AMERICAN FORK, UT 84003-3336
(801) 997-9183
Mailing address
604 W 425 N, LINDON, UT 84042-1380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13157505-6006
UT
101YM0800X
Mental Health Counselor
Primary
13157505-6011
UT
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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