Individual provider · Type 1 NPI

Sean-Michael Green

Mental Health Counselor · Champaign, IL

NPI number 1386362390 Active

Practice location

206 N Randolph St
Champaign, IL 61820-3949

Mailing address

4301 187th Pl
Country Club Hills, IL 60478-5657

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.018204 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1386362390

Sean-Michael Green's National Provider Identifier is 1386362390, issued on Aug 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Aug 16, 2022.