person
Sean-michael Green
Mental Health Counselor in Champaign, Illinois
NPI 1386362390

Sean-michael Green is a Mental Health Counselor based in Country Club Hills, IL and is specialized in Mental Health. Sean-michael Green practices in Champaign, IL. The NPI Number for Sean-michael Green is 1386362390 and holds a License No. 178.018204 (Illinois).

The current practice location address for Sean-michael Green is 206 N Randolph St, Champaign, IL and can be reached out via phone at 217-290-5402.

Location: 206 N Randolph St, Champaign, IL, 60478-5657
person
Provider Profile Details
NPI Number
1386362390
Provider Name
Sean-michael Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
206 N Randolph St, Champaign, IL, 60478-5657
Phone Number
217-290-5402
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 N Randolph St
City
State
Zip
61820-3949
Phone Number
217-290-5402
Fax Number
person
Provider Business Mailing Address Details
Address
206 N Randolph St
City
State
Zip
61820-3949
Phone Number
217-290-5402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.018204 (Illinois)
Definition
Definition to come...
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