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

Jennifer Elaine Green

Individual provider Professional Counselor · NPI 1417615113

Jennifer Elaine Green is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
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Practice location Partly verified

Some contact details are missing from the federal record.

12562 Bennington Pl
Saint Louis, MO 63146-2772
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2019008151 (MO)

Record details

NPI number1417615113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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