Individual
ELIJAH JOSHUA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(844) 424-3577
Mailing address
1182 GLENMEADE DR APT D, MARYLAND HEIGHTS, MO 63043-4417
(314) 922-0510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025007543
MO
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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