Individual provider · Type 1 NPI

Shannon Green

Mental Health Counselor · Baton Rouge, LA

NPI number 1699132415 Active

Practice location

8325 Kelwood Ave
Baton Rouge, LA 70806-4804

Call (225) 239-5498 Map

Mailing address

14004 Longvue Dr
Baker, LA 70714-4714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699132415

Shannon Green's National Provider Identifier is 1699132415, issued on Jan 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 25, 2016.