Individual provider · Type 1 NPI

Samuel Ellis Green, M.A., L.M.H.C.

Mental Health Counselor · Jamaica, NY

NPI number 1255735247 Active

Practice location

9027 Sutphin Blvd
Jamaica, NY 11435-3647

Call (718) 526-8400 Map

Fax (718) 297-8658

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003591 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1255735247

Samuel Ellis Green, M.A., L.M.H.C.'s National Provider Identifier is 1255735247, issued on Oct 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica, NY. The record was last updated on Oct 20, 2014.