Individual provider · Type 1 NPI
Shannon Laray Green
Mental Health Counselor · Las Vegas, NV
NPI number
1194245969
Active
Practice location
3800 Dalecrest Dr Unit 2109
Las Vegas, NV 89129-1769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194245969
Shannon Laray Green's National Provider Identifier is 1194245969, issued on Jun 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 21, 2022.