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Mrs. Heather Diana Green, MED,LPC
Professional Counselor in Farmington, Missouri
NPI 1619372638

Heather Diana Green is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Heather Diana Green practices in Farmington, MO and has the professional credentials of MED,LPC. The NPI Number for Heather Diana Green is 1619372638 and holds a License No. 2012014744 (Missouri).

The current practice location address for Heather Diana Green is 1085 Maple St, Farmington, MO and can be reached out via phone at 314-243-3793.

Location: 1085 Maple St, Farmington, MO, 63103-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619372638
Provider Name
Heather Diana Green
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
1085 Maple St, Farmington, MO, 63103-2303
Phone Number
314-243-3793
Fax Number
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1085 Maple St
City
Farmington
State
Missouri
Zip
63640-1955
Phone Number
314-243-3793
Fax Number
person
Provider Business Mailing Address Details
Address
1085 Maple St
City
Farmington
State
Missouri
Zip
63640-1955
Phone Number
314-243-3793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2012014744 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2012014744 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2012014744 (Missouri)
Definition
Definition to come...
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