Individual provider · Type 1 NPI
Renee Victoria Green, LCSW
Mental Health Counselor · Chicago, IL
NPI number
1629488788
Active
Practice location
9415 S. Lowe
Chicago, IL 60620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149004377 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1629488788
Renee Victoria Green, LCSW's National Provider Identifier is 1629488788, issued on Apr 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2014.