Individual
MRS. LISA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
133 N WEST ST STE C, EASTON, MD 21601-9920
(443) 607-2455
Mailing address
133 N WEST ST STE C, EASTON, MD 21601-9920
(443) 607-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP8009
MD
101YP2500X
Professional Counselor
Primary
LC9677
MD
Other
Enumeration date
10/03/2017
Last updated
11/16/2023
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