Individual provider · Type 1 NPI
Suzanne Showntay Douglas Green, PhD
Mental Health Counselor · Grambling, LA
NPI number
1346789328
Active
Practice location
173 Mockingbird Ln
Grambling, LA 71245-9216
Mailing address
PO Box 520
Grambling, LA 71245-0520
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 1346789328
Suzanne Showntay Douglas Green, PhD's National Provider Identifier is 1346789328, issued on Feb 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grambling, LA. The record was last updated on Feb 23, 2017.