Individual provider · Type 1 NPI

Vivian Dyan Green

Mental Health Counselor · Commerce, CA

NPI number 1508042904 Active

Practice location

1500 S Mcdonnell Ave
Commerce, CA 90040-5623

Fax (323) 881-6733

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508042904

Vivian Dyan Green's National Provider Identifier is 1508042904, issued on Jan 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Commerce, CA. The record was last updated on Jan 15, 2008.