Individual provider · Type 1 NPI
Marjorie Green
Professional Counselor · Lake View Terrace, CA
NPI number
1619604402
Active
Practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Professional Counselor Primary | 101YP2500X | 15044 (CA) |
Professional Counselor: Definition to come...
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About NPI 1619604402
Marjorie Green's National Provider Identifier is 1619604402, issued on Aug 2, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake View Terrace, CA. The record was last updated on Nov 22, 2023.