Individual
MS. SHEILA M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
595 MT VIEW DR, TWIN FALLS, ID 83301-4319
(435) 574-8016
Mailing address
595 MT VIEW DR, TWIN FALLS, ID 83301-4319
(435) 574-8016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4469
ID
101YM0800X
Mental Health Counselor
Primary
LPC-3637
ID
Other
Enumeration date
12/13/2007
Last updated
12/01/2023
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