person
Shantika Green, LCSW
Mental Health Counselor in Gresham, Oregon
NPI 1326656851

Shantika Green is a Mental Health Counselor based in Happy Valley, OR and is specialized in Mental Health. Shantika Green practices in Gresham, OR and has the professional credentials of LCSW. The NPI Number for Shantika Green is 1326656851 and holds a License No. 8611 (Oregon).

The current practice location address for Shantika Green is 1700 Nw Civic Dr Ste 310, Gresham, OR and can be reached out via phone at 503-666-8835.

Location: 1700 Nw Civic Dr Ste 310, Gresham, OR, 97086-8322
person
Provider Profile Details
NPI Number
1326656851
Provider Name
Shantika Green
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1700 Nw Civic Dr Ste 310, Gresham, OR, 97086-8322
Phone Number
503-666-8835
Fax Number
Provider Enumeration Date
07/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Nw Civic Dr Ste 310
City
State
Zip
97030-3774
Phone Number
503-666-8835
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Nw Civic Dr Ste 310
City
State
Zip
97030-3774
Phone Number
503-666-8835
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8611 (Oregon)
Definition
Definition to come...
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