SAMANTHA RENEE GREEN

WEBSTER, NY
NPI1437708047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  011721)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-09-06
Last Update Date2024-07-22
Business Address
SAMANTHA RENEE GREEN
1900 EMPIRE BLVD SUITE 184
WEBSTER, NY 14580-1297
Phone number: 585-755-7811
Mailing Address
SAMANTHA RENEE GREEN
46 COUNTRY LN
PENFIELD, NY 14526-1029
Phone number: 585-755-7811