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

MARJORIE GREEN

Active

MARJORIE GREEN is a Professional Counselor healthcare provider located in LAKE VIEW TERRACE, California. NPI 1619604402 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LAKE VIEW TERRACE, CA

Registration Details

NPI Number
1619604402
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2022 (4.0415767622554 yrs)
Last Updated
Nov 22, 2023
License
15044 (CA)

Practice Information

Address
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA, 913426506
Browse CA providers · Browse ZIP 91342
Phone
8188683000
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in LAKE VIEW TERRACE, CA

Name Credential NPI
HOLLY BONILLA 1528426350
MR. KYLE CARTER SUSSER 1154098952
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.