MRS. Antonette Marie Green, LPC

NPI #1023719085 in Swansea, Illinois

Provider Information

NPI Number
1023719085
Entity Type
Individual
Name
MRS. Antonette Marie Green, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Mar 15, 2023
Last Updated
Mar 15, 2023

Practice Location

Address
2 BRONZE POINTE S STE A
ZIP Code
62226-8307
Phone
(618) 207-2547

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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