Individual
MS. QUIONDA M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
832 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1108
(317) 880-7666
Mailing address
720 ESKENAZI AVENUE, FIFTH THIRD BANK BLDG., 5TH FLOOR, INDIANAPOLIS, IN 46202-5166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34007892A
IN
Other
Enumeration date
11/08/2010
Last updated
03/17/2018
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