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Individual

NICOLETTE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW, LCAC

Contact information

Practice address
7927 FLOYD ST, OVERLAND PARK, KS 66204-3724
(913) 302-8450
(913) 624-9799
Mailing address
7927 FLOYD ST, OVERLAND PARK, KS 66204-3724
(913) 302-8450
(913) 624-9799

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
240
KS
1041C0700X
Clinical Social Worker
Primary
4081
KS

Other

Enumeration date
11/07/2007
Last updated
01/20/2019
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