Individual
AMBER JANIELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2912 VALLEY VIEW DR, SHREVEPORT, LA 71108-4934
(318) 626-7143
Mailing address
9718 AIELLO LN, SHREVEPORT, LA 71106-7440
(318) 638-9945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC8418
LA
171M00000X
Case Manager/Care Coordinator
PLC8418
LA
Other
Enumeration date
03/26/2021
Last updated
01/03/2023
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