MS. Kimberly Dawn Green, M.S., LPC

NPI #1861611691 in Corsicana, Texas

Provider Information

NPI Number: 1861611691
Entity Type: Individual
Name: MS. Kimberly Dawn Green, M.S., LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: M.S., LPC
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 100 N MAIN ST
Address 2: SUITE 515
City: Corsicana
State: Texas
ZIP Code: 75110-5215
Phone: (903) 875-8104

Specialties & Taxonomy Codes

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

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