Individual provider · Type 1 NPI

Katelyn Elizabeth Green

Mental Health Counselor · Jerseyville, IL

NPI number 1063200863 Active

Practice location

1101 N State St
Jerseyville, IL 62052

Call (618) 498-0190 Map

Mailing address

21002 Richey Hollow Rd
Jerseyville, IL 62052-6611

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063200863

Katelyn Elizabeth Green's National Provider Identifier is 1063200863, issued on Apr 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jerseyville, IL. The record was last updated on Apr 30, 2025.