Individual provider · Type 1 NPI

Kelly Robinson Green, MC, LPC, LISAC

Professional Counselor · Glendale, AZ

NPI number 1144514811 Active

Practice location

5701 W Talavi Blvd Ste 180
Glendale, AZ 85306-1888

Call (623) 687-2865 Map

Fax (623) 486-2739

Mailing address

4747 N 7th St Ste 100
Phoenix, AZ 85014-3654

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-1345 (AZ)
Professional Counselor Primary 101YP2500XLPC-11799 (AZ)

Professional Counselor: Definition to come...

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About NPI 1144514811

Kelly Robinson Green, MC, LPC, LISAC's National Provider Identifier is 1144514811, issued on May 30, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, AZ. The record was last updated on Aug 26, 2022.