KERRY M GREEN

COEUR D ALENE, ID
NPI1073161717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-7253)
Enumeration Date2019-08-27
Last Update Date2020-12-01
Business Address
KERRY M GREEN LCPC
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814-2971
Phone number: 208-661-9200
Mailing Address
KERRY M GREEN LCPC
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814-2971
Phone number:
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