Individual provider · Type 1 NPI

Bruce Green I

Mental Health Counselor · Auburn, NY

NPI number 1750748992 Active

Practice location

17 E Genesee St
Auburn, NY 13021-4040

Call (315) 253-9795 Map

Mailing address

1832 State Route 89
Seneca Falls, NY 13148-9413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1750748992

Bruce Green I's National Provider Identifier is 1750748992, issued on Jan 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Auburn, NY. The record was last updated on Jan 19, 2016.