Individual
MS. PAMELA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8946 INTERLINE AVE, STE A, BATON ROUGE, LA 70809-1913
(225) 279-2815
Mailing address
8946 INTERLINE AVE, BATON ROUGE, LA 70809-1913
(225) 279-2815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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