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William Green
Mental Health Counselor in Konawa, Oklahoma
NPI 1477871044

William Green is a Mental Health Counselor based in Konawa, OK and is specialized in Mental Health. William Green practices in Konawa, OK. The NPI Number for William Green is 1477871044 and holds a License No. (Oklahoma).

The current practice location address for William Green is 527 W 3Rd St, Konawa, OK and can be reached out via phone at 580-925-3286 and via fax at 580-925-2362.

Location: 527 W 3Rd St, Konawa, OK, 74849-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477871044
Provider Name
William Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
527 W 3Rd St, Konawa, OK, 74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100737160D 05 OK
institution
Provider Business Practice Location Address Details
Address
527 W 3Rd St
City
Konawa
State
Oklahoma
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider Business Mailing Address Details
Address
527 W 3Rd St
City
Konawa
State
Oklahoma
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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