Individual provider · Type 1 NPI

Malita Elice Green, B.A.

Mental Health Counselor · Shawnee, OK

NPI number 1891051330 Active

Practice location

102 Ashley Dr
Shawnee, OK 74804-9710

Call (405) 808-5875 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891051330

Malita Elice Green, B.A.'s National Provider Identifier is 1891051330, issued on Apr 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawnee, OK. The record was last updated on Apr 10, 2012.