Individual
MR. KEITH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5540 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80918-3696
(719) 632-5503
Mailing address
5540 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80918-3696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2019
Last updated
02/07/2025
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