Individual provider · Type 1 NPI

Thretha Green, M.A C. PSY.

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1760794747 Active

Practice location

141 E Main St
Waterbury, CT 06702-2310

Call (203) 574-9000 Map

Fax (203) 574-9006

Other practice locations

  • 93 Edwards St, New Haven, CT 06511-2929 · (203) 772-1270

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760794747

Thretha Green, M.A C. PSY.'s National Provider Identifier is 1760794747, issued on Jul 8, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Jun 18, 2021.