Individual provider · Type 1 NPI

Sandra Lucille Green

Mental Health Counselor · Orange, CA

NPI number 1538291349 Active

Practice location

822 W Town And Country Rd
Orange, CA 92868-4712

Fax (714) 543-4431

Mailing address

223 E Mountain View St
Long Beach, CA 90805-6439

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1538291349

Sandra Lucille Green's National Provider Identifier is 1538291349, issued on Mar 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange, CA. The record was last updated on Jul 8, 2007.