Individual provider · Type 1 NPI

Teri Green, LCSW

Mental Health Counselor · Glendale, AZ

NPI number 1467658658 Active

Practice location

5701 W Talavi Blvd, Suite 180
Glendale, AZ 85306-1886

Fax (623) 486-2739

Mailing address

4220 N 20th Ave
Phoenix, AZ 85015-5101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-12722 (AZ)
Mental Health Counselor 101YM0800XLMSW-11867 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1467658658

Teri Green, LCSW's National Provider Identifier is 1467658658, issued on Jun 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, AZ. The record was last updated on Sep 15, 2011.