Individual provider · Type 1 NPI

Kathleen Green, M.A.

Mental Health Counselor · Fort Myers, FL

NPI number 1376948059 Active

Practice location

2789 Ortiz Ave
Fort Myers, FL 33905-7806

Call (239) 275-3222 Map

Fax (239) 275-7050

Mailing address

3763 Evans Ave
Fort Myers, FL 33901-9302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376948059

Kathleen Green, M.A.'s National Provider Identifier is 1376948059, issued on Oct 24, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 12, 2014.