Individual provider · Type 1 NPI

Ida Lawanda Green

Counselor · Novato, CA

NPI number 1841573151 Active

Practice location

1682 Novato Blvd Ste 105
Novato, CA 94947-0001

Call (415) 454-2152 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW79071 (CA)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1841573151

Ida Lawanda Green's National Provider Identifier is 1841573151, issued on Sep 22, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Novato, CA. The record was last updated on Nov 29, 2021.