Individual
BRIAN D. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1825 ACADEMY DR, ANCHORAGE, AK 99507-5391
(907) 522-7080
Mailing address
11300 HAWKINS LN, ANCHORAGE, AK 99516-1326
(907) 344-3728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63
AK STATE LICENSE #
AK
Enumeration date
10/23/2006
Last updated
07/08/2007
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