Michaela Green

NPI #1255611349 in Woodward, Oklahoma

Provider Information

NPI Number: 1255611349
Entity Type: Individual
Name: Michaela Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 1222 10TH ST
Address 2: SUITE 211
City: Woodward
State: Oklahoma
ZIP Code: 73801-3156
Phone: (580) 256-8615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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