person
Terry L. Green, LMHC
Mental Health Counselor in Anderson, Indiana
NPI 1639107535

Terry L. Green is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Terry L. Green practices in Anderson, IN and has the professional credentials of LMHC. The NPI Number for Terry L. Green is 1639107535 and holds a License No. 39001530 (Indiana).

The current practice location address for Terry L. Green is 2210 Jackson St, Anderson, IN and can be reached out via phone at 765-646-8486 and via fax at 765-683-3115. You can also correspond with Terry L. Green through the mailing address at 10330 N MERIDIAN ST, INDIANAPOLIS, IN - 46290-1024 (mailing address contact number: ).

Location: 2210 Jackson St, Anderson, IN, 46290-1024
person
Provider Profile Details
NPI Number
1639107535
Provider Name
Terry L. Green
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2210 Jackson St, Anderson, IN, 46290-1024
Phone Number
765-646-8486
Fax Number
765-683-3115
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000373339 01 ANTHEM PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
2210 Jackson St
City
State
Zip
46016-4363
Phone Number
765-646-8486
Fax Number
765-683-3115
person
Provider Business Mailing Address Details
Address
2210 Jackson St
City
State
Zip
46016-4363
Phone Number
765-646-8486
Fax Number
765-683-3115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39001530 (Indiana)
Definition
Definition to come...
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