Individual
FAYE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAC CCGC CCS
Contact information
Practice address
210 MEDICAL DRIVE, NATCHITOCHES, LA 71457
(318) 357-3122
(318) 357-3240
Mailing address
210 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3122
(318) 357-3240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
863
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/23/2006
Last updated
06/05/2018
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