Individual
PAMELA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 BOSTON PIKE # SR227, RICHMOND, IN 47374-7218
(513) 593-3033
Mailing address
2109 BOSTON PIKE # SR227, RICHMOND, IN 47374-7218
(513) 593-3033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004220A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035607
—
IN
Enumeration date
02/06/2020
Last updated
07/04/2024
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