Individual provider · Type 1 NPI

Lisa Michelle Green, LPC

Professional Counselor · Dearborn, MI

NPI number 1043795628 Active

Practice location

835 Mason St Ste B220
Dearborn, MI 48124-2262

Mailing address

13262 Chestnut Ln
Taylor, MI 48180-6347

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401009728 (MI)

Professional Counselor: Definition to come...

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About NPI 1043795628

Lisa Michelle Green, LPC's National Provider Identifier is 1043795628, issued on Sep 28, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dearborn, MI. The record was last updated on Sep 28, 2018.