Shannon Green, LMHC
Counselor, Mental Health in St Petersburg, FL. Individual provider (NPI-1).
NPI number1548090749
StatusActive
Last updated in NPPESAug 3, 2024
Details
- NPI
- 1548090749
- Entity type
- Individual (NPI-1)
- Name
- Shannon Green
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2024
- Certification date
- Aug 3, 2024
- Last updated
- Aug 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH24000 | FL | Yes |
Practice location
7901 4th St N Ste 300St Petersburg, FL 33702-4399
Phone 727-967-4441
Mailing address
7901 4th St N Ste 300St Petersburg, FL 33702-4399
Phone 727-967-4441
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