Individual provider · Type 1 NPI

Kelly Green, CDCA

Mental Health Counselor · Dayton, OH

NPI number 1689562365 Active

Practice location

3559 Stanford Pl
Dayton, OH 45406-3641

Mailing address

1200 N Broadway St
Dayton, OH 45402-6112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689562365

Kelly Green, CDCA's National Provider Identifier is 1689562365, issued on Jun 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Jun 24, 2025.