Individual
JUDITH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
(602) 753-8036
Mailing address
PO BOX 3403, TEMPE, AZ 85280-3403
(602) 753-8902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18967
AZ
Other
Enumeration date
05/10/2016
Last updated
05/21/2026
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