Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC

NPI #1518373513 in Kingston, Oklahoma

Provider Information

NPI Number
1518373513
Entity Type
Organization
Organization Name
Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 10, 2014
Last Updated
Jul 10, 2014

Practice Location

Address
8800 BIRCH ST
ZIP Code
73439
Phone
(580) 565-2252

Authorized Official

Name
DANA GREEN, LPC
Title
PRESIDENT
Phone
58505652252

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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