Judith H Green LCPC

NPI 1396860821 - Counselor - 101YA0400X

NPI Details
NPI 1396860821
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
125 ACACIA CIRCLE
#504
INDIAN HEAD PARK IL, 60525, US
Phone (708) 784-0014
Fax
Business Location
125 ACACIA CIRCLE
#504
INDIAN HEAD PARK IL, 60525, US
Phone (708) 784-0014
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Illinois
License Number CERT# 5603
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According to our database, Ms. Judith H Green LCPC NPI is 1396860821, taxonomy code is 101YA0400X and license number is CERT# 5603, license state is located at Illinois. Judith H Green LCPC physically located at 125 Acacia Circle, Indian Head Park IL, 60525. NPI Number Judith H Green LCPC has the Individual type.

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1396860821 NPI number is provided on an as is basis without warranty of any kind. 1396860821 is maintained by the National Plan & Provider Enumeration System. The contents of Judith H Green LCPC are for informational purposes only.