Individual provider · Type 1 NPI

Rae Green, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1629435755 Active

Practice location

540 Cherry St SE
Grand Rapids, MI 49503-4748

Call (616) 288-6970 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401011267 (MI)

Professional Counselor: Definition to come...

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About NPI 1629435755

Rae Green, LPC's National Provider Identifier is 1629435755, issued on Jan 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 20, 2016.