Individual
ESTELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LAFAYETTE ST, SUITE 140, GRETNA, LA 70053-5732
(225) 249-9875
Mailing address
266 S CHERRY ST, LOT 19, GRAMERCY, LA 70052
(225) 249-9875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA006819345
LA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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