Individual
STEPHANIE J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7445
(847) 469-3395
Mailing address
741 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7445
(847) 469-3395
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208001291
IL
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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