Individual provider · Type 1 NPI

Dei'andra Iesha Green

Mental Health Counselor · Compton, CA

NPI number 1720114945 Active

Practice location

2200 N Locust Ave
Compton, CA 90221-1323

Call (310) 279-0867 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720114945

Dei'andra Iesha Green's National Provider Identifier is 1720114945, issued on Feb 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Compton, CA. The record was last updated on Jul 8, 2007.