Individual
JAN MAUREEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
215 6TH AVE S, SUITE 25, CLINTON, IA 52732-4338
(563) 242-9210
(563) 243-0730
Mailing address
215 6TH AVE S, SUITE 25, CLINTON, IA 52732-4338
(563) 242-9210
(563) 243-0730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00819
IA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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