person
Stacie Diane Green
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1386972628

Stacie Diane Green is a Mental Health Counselor based in Clementon, PA and is specialized in Mental Health. Stacie Diane Green practices in Philadelphia, PA. The NPI Number for Stacie Diane Green is 1386972628 and holds a License No. (Pennsylvania).

The current practice location address for Stacie Diane Green is 1315 Windrim Ave, Philadelphia, PA and can be reached out via phone at 609-502-8609.

Location: 1315 Windrim Ave, Philadelphia, PA, 08021-3606
person
Provider Profile Details
NPI Number
1386972628
Provider Name
Stacie Diane Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1315 Windrim Ave, Philadelphia, PA, 08021-3606
Phone Number
609-502-8609
Fax Number
Provider Enumeration Date
11/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1315 Windrim Ave
City
State
Zip
19141-2710
Phone Number
609-502-8609
Fax Number
person
Provider Business Mailing Address Details
Address
1315 Windrim Ave
City
State
Zip
19141-2710
Phone Number
609-502-8609
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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