Organization
LYNN GREEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE GREEN LPC (OWNER)
(541) 843-0828
Entity
Organization
Contact information
Practice address
122 E MAIN ST # 36, MEDFORD, OR 97501-6004
(541) 843-0828
(800) 433-1396
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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