Individual provider · Type 1 NPI

Jennifer Elaine Green

Professional Counselor · St. Louis, MO

NPI number 1417615113 Active

Practice location

12562 Bennington Pl
St. Louis, MO 63146-2772

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Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2019008151 (MO)

Professional Counselor: Definition to come...

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About NPI 1417615113

Jennifer Elaine Green's National Provider Identifier is 1417615113, issued on Nov 30, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Nov 30, 2021.