Individual
ANNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4909 HWY 7 E, CENTERVILLE, TX 75833-7583
(903) 391-0394
Mailing address
PO BOX 359, CENTERVILLE, TX 75833-0359
(903) 391-0394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16443
TX
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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