Individual
ELYSSA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16 WILLOW DR APT 3B, OCEAN, NJ 07712-2837
(732) 547-8821
Mailing address
16 WILLOW DR APT 3B, OCEAN, NJ 07712-2837
(732) 547-8821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01092400
NJ
Other
Enumeration date
01/11/2024
Last updated
12/05/2024
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