Individual
CANDICE MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 619-3833
Mailing address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
(209) 425-5727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0017454
CO
101YM0800X
Mental Health Counselor
100100
TX
101YM0800X
Mental Health Counselor
5437
OK
101YM0800X
Mental Health Counselor
E.2505556
NJ
101YM0800X
Mental Health Counselor
E.2505556
OH
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2010
Last updated
10/02/2025
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