Individual provider · Type 1 NPI
Stacy L. Green
Mental Health Counselor · Grass Valley, CA
NPI number
1447346911
Active
Practice location
714 West Main St.
Grass Valley, CA 95945
Fax (530) 477-9803
Mailing address
714 W. Main St
Grass Valley, CA 95945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | ASW31786 (CA) |
| Social Worker | 104100000X | ASW16266 (CA) |
| Social Worker | 104100000X | ASW31786 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1447346911
Stacy L. Green's National Provider Identifier is 1447346911, issued on Oct 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grass Valley, CA. The record was last updated on Jun 23, 2016.