| Lynn Green Counseling Llc | |
|
122 E Main St # 36 Medford OR 97501-6004 | |
| (541) 843-0828 | |
| (800) 433-1396 |
| Full Name | Lynn Green Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 E Main St # 36, Medford, Oregon |
| Authorized Official Name and Position | Lynnette Green (OWNER) |
| Authorized Official Contact | 5418430828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Green Counseling Llc Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Lynn Green Counseling Llc 122 E Main St # 36 Medford OR 97501-6004 Ph: (541) 843-0828 |
| NPI Number | 1790451789 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790451789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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