person
Phillip Green, MED,LPC-CR
Professional Counselor in Columbus, Ohio
NPI 1346658929

Phillip Green is a Professional Counselor based in Detroit, OH and is specialized in Professional. Phillip Green practices in Columbus, OH and has the professional credentials of MED,LPC-CR. The NPI Number for Phillip Green is 1346658929 and holds a License No. C.1200451-CR (Ohio).

The current practice location address for Phillip Green is 399 E Main St, Columbus, OH and can be reached out via phone at 614-355-8550 and via fax at 614-355-8593.

Location: 399 E Main St, Columbus, OH, 48278-1625
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Provider Profile Details
NPI Number
1346658929
Provider Name
Phillip Green
Credential
MED,LPC-CR
Provider Entity Type
Individual
Gender
Male
Address
399 E Main St, Columbus, OH, 48278-1625
Phone Number
614-355-8550
Fax Number
614-355-8593
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2846675 05 OH
institution
Provider Business Practice Location Address Details
Address
399 E Main St
City
State
Zip
43215-5384
Phone Number
614-355-8550
Fax Number
614-355-8593
person
Provider Business Mailing Address Details
Address
399 E Main St
City
State
Zip
43215-5384
Phone Number
614-355-8550
Fax Number
614-355-8593
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C.1200451 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C.1200451-CR (Ohio)
Definition
Definition to come...
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