Individual
MADISON BAILEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(539) 325-0739
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(580) 747-8812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCCANDIDATE10997
OK
Other
Enumeration date
09/15/2022
Last updated
05/03/2023
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