Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carnetta Green, MANCCQMHP

Individual provider Mental Health Counselor · NPI 1306553953

Carnetta Green, MANCCQMHP is a Mental Health Counselor in Dolton, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

15325 Oak St
Dolton, IL 60419-2646
Phone: (773) 844-1117
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1306553953
Entity typeIndividual (Type 1)
GenderFemale
Credentials MANCCQMHP
Sole proprietorYes
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address15325 Oak St, Dolton, IL 60419-2646

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