Individual
MS. EVELYN LORAINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CST
Contact information
Practice address
3500 E 17TH AVE, #3, DENVER, CO 80206-1813
(303) 333-4074
Mailing address
3500 E 17TH AVE, #3, DENVER, CO 80206-1813
(303) 333-4074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 3023
CO
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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