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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY EUGENE GREEN, M.A.

Active Sole Proprietor

JERRY EUGENE GREEN, M.A. is a Professional Counselor healthcare provider located in RENTON, Washington. NPI 1447439690 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · RENTON, WA

Registration Details

NPI Number
1447439690
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2007 (18.624135099716 yrs)
Last Updated
Jul 12, 2019
License
RC00015663 (WA)
Sole Proprietor
Yes

Practice Information

Address
15 S GRADY WAY STE 310
RENTON, WA, 980573215
Browse WA providers · Browse ZIP 98057
Phone
4256521886
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in RENTON, WA

Name Credential NPI
MRS. WENDY KINCAIDE FERRERI PHD LMHC 1659584142
MS. KARINA L. RAY MA, LMHC, CDP, CMHS 1467610444
MS. RHIANNON MARIE SERVICE MA 1114264892
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.