Most Relevant Information
Provider Data
| NPI Number: | 1003564618 |
| Provider Name: | SAREENA GREEN LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 180.014266 |
Most Important Dates
| Enumeration Date: | 03/13/2022 |
| Last Updated: | 03/13/2022 |
Provider Practice Location
7336 RANDOLPH ST APT 2
FOREST PARK
IL
601301374
Practice Location Phone/Fax
| Phone: | 7088600240 |
| Fax: |
Provider Mailing Location
7336 RANDOLPH ST APT 2
FOREST PARK
IL
601301374
Provider Mailing Phone/Fax
| Phone: | 7088600240 |
| Fax: |