Felicia Diane Green

NPI #1396234159 in Kennett, Missouri

Provider Information

NPI Number: 1396234159
Entity Type: Individual
Name: Felicia Diane Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 925 HIGHWAY VV
City: Kennett
State: Missouri
ZIP Code: 63857
Phone: (573) 888-5925

Specialties & Taxonomy Codes

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

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