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Individual

MRS. CARMEN MH GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LMHC

Contact information

Practice address
1334 N WHITMAN LN STE 140, LIBERTY LAKE, WA 99019-6034
(253) 230-3613
Mailing address
50 N LEGEND TREE DR, LIBERTY LAKE, WA 99019-7704
(125) 323-0361

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00009493
WA
106H00000X
Marriage & Family Therapist
Primary
LF00002255
WA

Other

Enumeration date
02/04/2021
Last updated
02/09/2021
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