Poetrii Green
Counselor, Mental Health in Saint Louis, MO. Individual provider (NPI-1).
NPI number1831973155
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1831973155
- Entity type
- Individual (NPI-1)
- Name
- Poetrii Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2024049946 | MO | Yes |
Practice location
5505 Alcott AveSaint Louis, MO 63120-2516
Phone 314-745-3087
Mailing address
5505 Alcott AveSaint Louis, MO 63120-2516
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