Individual
MS. ANGELIQUE EMIRITHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2527 CHESTNUT RIDGE DR, KINGWOOD, TX 77339-3031
(281) 348-9008
(832) 519-1664
Mailing address
2527 CHESTNUT RIDGE DR, KINGWOOD, TX 77339-3031
(281) 348-9008
(832) 519-1664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10627
TX
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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