Individual
ALEXANDRA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LPC
Contact information
Practice address
8203 RENMARK LN, HOUSTON, TX 77070-3620
(713) 203-9061
Mailing address
129 10TH ST, CARMI, IL 62821-1309
(713) 203-9061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008519
IL
101YP2500X
Professional Counselor
76600
TX
Other
Enumeration date
10/09/2012
Last updated
01/24/2017
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