Individual provider · Type 1 NPI

Katherine Kyeong Green

Mental Health Counselor · San Jose, CA

NPI number 1457689929 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 254-9960

Mailing address

561 Saratoga Ave, Apt 1
Santa Clara, CA 95050-6959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457689929

Katherine Kyeong Green's National Provider Identifier is 1457689929, issued on Nov 22, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Nov 22, 2009.