Individual
JUDITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 S MILL AVE, TEMPE, AZ 85282-6736
(602) 753-8902
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
11/27/2023
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