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Loretta B Green
Mental Health Counselor in Tillamook, Oregon
NPI 1801926092

Loretta B Green is a Mental Health Counselor based in Tillamook, OR and is specialized in Mental Health. Loretta B Green practices in Tillamook, OR. The NPI Number for Loretta B Green is 1801926092 and holds a License No. (Oregon).

The current practice location address for Loretta B Green is 906 Main Ave, Tillamook, OR and can be reached out via phone at 503-842-8201 and via fax at 503-815-1870.

Location: 906 Main Ave, Tillamook, OR, 97141-9794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801926092
Provider Name
Loretta B Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
906 Main Ave, Tillamook, OR, 97141-9794
Phone Number
503-842-8201
Fax Number
503-815-1870
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197749 05 OK
institution
Provider Business Practice Location Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-842-8201
Fax Number
503-815-1870
person
Provider Business Mailing Address Details
Address
906 Main Ave
City
Tillamook
State
Oregon
Zip
97141-3816
Phone Number
503-842-8201
Fax Number
503-815-1870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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