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

SHANNON GREEN, MFT

Active Sole Proprietor

SHANNON GREEN, MFT is a Marriage & Family Therapist healthcare provider located in COSTA MESA, California. NPI 1609070572 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · COSTA MESA, CA

Registration Details

NPI Number
1609070572
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2007 (19.185033607079 yrs)
Last Updated
Aug 14, 2009
License
MFC47323 (CA)
Sole Proprietor
Yes

Practice Information

Address
1055 EL CAMINO DR
F-100
COSTA MESA, CA, 926265574
Browse CA providers · Browse ZIP 92626
Phone
7142806967
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in COSTA MESA, CA

Name Credential NPI
SHARON ANN FULLER M.A.,M.F.T. 1780632356
MS. ELLEN WINTERS MILLER L.M.F.T. 1922058882
MS. LISA M. STANTON LMFT 1326072794
BONNIE HOOES 1558385682
MS. DEBRA HELEN SOLSENG MFT 1053325142
FEDRA HASSANPOUR LMFT 1750493912
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.