Individual provider · Type 1 NPI

Crystal Louise Green

Mental Health Counselor · Shelton, WA

NPI number 1114535150 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Call (360) 839-2822 Map

Fax (360) 839-2822

Mailing address

19206 21st St SW
Lakebay, WA 98349-9280

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114535150

Crystal Louise Green's National Provider Identifier is 1114535150, issued on Jul 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelton, WA. The record was last updated on Jul 15, 2020.