Shantika Green, LCSW

NPI #1326656851 in Gresham, Oregon

Provider Information

NPI Number
1326656851
Entity Type
Individual
Name
Shantika Green, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Jul 21, 2020
Last Updated
Jul 21, 2020

Practice Location

Address
1700 NW CIVIC DR STE 310
State
Oregon
ZIP Code
97030-3774
Phone
(503) 666-8835

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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