Individual provider · Type 1 NPI

Elicia A. Green, MED

Mental Health Counselor · Springfield, MA

NPI number 1447474655 Active

Practice location

503 State St
Springfield, MA 01109-4101

Fax (413) 733-7841

Mailing address

58 Johnson St, Apt. 2L
Springfield, MA 01108-1807

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447474655

Elicia A. Green, MED's National Provider Identifier is 1447474655, issued on Apr 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Jul 8, 2007.