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Jerry Eugene Green, MA
Professional Counselor in Renton, Washington
NPI 1447439690

Jerry Eugene Green is a Professional Counselor based in Edmonds, WA and is specialized in Professional. Jerry Eugene Green practices in Renton, WA and has the professional credentials of MA. The NPI Number for Jerry Eugene Green is 1447439690 and holds a License No. RC00015663 (Washington).

The current practice location address for Jerry Eugene Green is 15 S Grady Way Ste 310, Renton, WA and can be reached out via phone at 425-652-1886.

Location: 15 S Grady Way Ste 310, Renton, WA, 98026-6556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447439690
Provider Name
Jerry Eugene Green
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
15 S Grady Way Ste 310, Renton, WA, 98026-6556
Phone Number
425-652-1886
Fax Number
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 S Grady Way Ste 310
City
Renton
State
Washington
Zip
98057-3215
Phone Number
425-652-1886
Fax Number
person
Provider Business Mailing Address Details
Address
15 S Grady Way Ste 310
City
Renton
State
Washington
Zip
98057-3215
Phone Number
425-652-1886
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
RC00015663 (Washington)
Definition
Definition to come...
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