Individual provider · Type 1 NPI

Kevin Anthony Green Iii

Mental Health Counselor · West Springfield, MA

NPI number 1114165941 Active

Practice location

2112 Riverdale Street
West Springfield, MA 01089

Call (413) 827-4345 Map

Mailing address

106 Tyler Street
Springfield, MA 01109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114165941

Kevin Anthony Green Iii's National Provider Identifier is 1114165941, issued on Feb 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Springfield, MA. The record was last updated on Feb 2, 2009.