Green, Shelley A.

Green, Shelley A. is an sole proprietor health care provider with primary practice located at 2603 Rutherford St , Muskogee OK 74403-7639. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Shelley A. can be contacted via phone (918) 687-3532.

Contact Information

Primary practice address
2603 Rutherford St Muskogee OK 74403-7639
Phone: (918) 687-3532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5877 Oklahoma

Profile Details

NPI number 1396960878
LBN Legal business name Green, Shelley A.
Credentials MS/LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Mar 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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