person
Matthew Green, LPC
Professional Counselor in West Plains, Missouri
NPI 1679697957

Matthew Green is a Professional Counselor based in West Plains, MO and is specialized in Professional. Matthew Green practices in West Plains, MO and has the professional credentials of LPC. The NPI Number for Matthew Green is 1679697957 and holds a License No. (Missouri).

The current practice location address for Matthew Green is 1208 Porter Wagoner Blvd, West Plains, MO and can be reached out via phone at 417-257-4031 and via fax at 417-256-4104. You can also correspond with Matthew Green through the mailing address at 1208 PORTER WAGONER BLVD, WEST PLAINS, MO - 65775-1854 (mailing address contact number: 417-257-4031).

Location: 1208 Porter Wagoner Blvd, West Plains, MO, 65775-1854
person
Provider Profile Details
NPI Number
1679697957
Provider Name
Matthew Green
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1208 Porter Wagoner Blvd, West Plains, MO, 65775-1854
Phone Number
417-257-4031
Fax Number
417-256-4104
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499305423 05 MO
institution
Provider Business Practice Location Address Details
Address
1208 Porter Wagoner Blvd
City
State
Zip
65775-1854
Phone Number
417-257-4031
Fax Number
417-256-4104
person
Provider Business Mailing Address Details
Address
1208 Porter Wagoner Blvd
City
State
Zip
65775-1854
Phone Number
417-257-4031
Fax Number
417-256-4104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
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Definition
Definition to come...
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