Individual provider · Type 1 NPI
Antonette Marie Green, LPC
Professional Counselor · Swansea, IL
NPI number
1023719085
Active
Practice location
2 Bronze Pointe S Ste A
Swansea, IL 62226-8307
Mailing address
205 Hickory Rdg
Belleville, IL 62223-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.017413 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1023719085
Antonette Marie Green, LPC's National Provider Identifier is 1023719085, issued on Mar 15, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Swansea, IL. The record was last updated on Mar 15, 2023.