person
Mrs. Malita Elice Green, BA
Mental Health Counselor in Shawnee, Oklahoma
NPI 1891051330

Malita Elice Green is a Mental Health Counselor based in Shawnee, OK and is specialized in Mental Health. Malita Elice Green practices in Shawnee, OK and has the professional credentials of BA. The NPI Number for Malita Elice Green is 1891051330 and holds a License No. (Oklahoma).

The current practice location address for Malita Elice Green is 102 Ashley Dr, Shawnee, OK and can be reached out via phone at 405-808-5875.

Location: 102 Ashley Dr, Shawnee, OK, 74804-9710
person
Provider Profile Details
NPI Number
1891051330
Provider Name
Malita Elice Green
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
102 Ashley Dr, Shawnee, OK, 74804-9710
Phone Number
405-808-5875
Fax Number
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Ashley Dr
City
State
Zip
74804-9710
Phone Number
405-808-5875
Fax Number
person
Provider Business Mailing Address Details
Address
102 Ashley Dr
City
State
Zip
74804-9710
Phone Number
405-808-5875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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