Individual
ELYSE LYNE GREENAMYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
805 OLD RANCH ROAD 12, SAN MARCOS, TX 78666-3255
(512) 956-1055
Mailing address
805 OLD RANCH ROAD 12, SAN MARCOS, TX 78666-3255
(512) 956-1055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15606
TX
104100000X
Social Worker
104276
TX
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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