Individual provider · Type 1 NPI

Carol Diane Green, MFT

Marriage & Family Therapist · Panorama City, CA

NPI number 1215177902 Active

Practice location

14621 Titus St, #117
Panorama City, CA 91402-4905

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC17343 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1215177902

Carol Diane Green, MFT's National Provider Identifier is 1215177902, issued on Feb 20, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Panorama City, CA. The record was last updated on Feb 20, 2009.