Individual provider · Type 1 NPI

Marilyn Evans Green, LPC, CAC III, MA

Professional Counselor · Fort Collins, CO

NPI number 1659890135 Active

Practice location

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Call (970) 494-4200 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACC.0002025 (CO)
Professional Counselor Primary 101YP2500XLPC.0000425 (CO)

Professional Counselor: Definition to come...

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About NPI 1659890135

Marilyn Evans Green, LPC, CAC III, MA's National Provider Identifier is 1659890135, issued on Sep 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on May 30, 2019.