Individual
MRS. DANA MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCGC-II
Contact information
Practice address
717B HIGHWAY 70 E, KINGSTON, OK 73439-8253
(580) 565-2252
(580) 564-7187
Mailing address
PO BOX 1800, KINGSTON, OK 73439-1800
(580) 565-2252
(580) 564-7187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011
OK
103K00000X
Behavior Analyst
LPC2011
OK
Other
Enumeration date
05/22/2007
Last updated
04/11/2014
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