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Khary Kj Green
Mental Health Counselor in Pembroke, Massachusetts
NPI 1265219000

Khary Kj Green is a Mental Health Counselor based in Weymouth, MA and is specialized in Mental Health. Khary Kj Green practices in Pembroke, MA. The NPI Number for Khary Kj Green is 1265219000 and holds a License No. (Massachusetts).

The current practice location address for Khary Kj Green is 20 Winter St, Pembroke, MA and can be reached out via phone at 508-690-8221.

Location: 20 Winter St, Pembroke, MA, 02188-3951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265219000
Provider Name
Khary Kj Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
20 Winter St, Pembroke, MA, 02188-3951
Phone Number
508-690-8221
Fax Number
Provider Enumeration Date
09/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Winter St
City
Pembroke
State
Massachusetts
Zip
02359-4965
Phone Number
508-690-8221
Fax Number
person
Provider Business Mailing Address Details
Address
20 Winter St
City
Pembroke
State
Massachusetts
Zip
02359-4965
Phone Number
508-690-8221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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