Sean-Michael Green
Sean-Michael Green is a Mental Health Counselor in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
206 N Randolph StChampaign, IL 61820-3949
Phone: (217) 290-5402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178.018204 (IL) |
|---|
Record details
| NPI number | 1386362390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 16, 2022 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 16, 2022 |
| Mailing address | 4301 187th Pl, Country Club Hills, IL 60478-5657 |
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