Amy Marie Green is a Counselor based in Phoenix, CA. Amy Marie Green practices in Davis, CA. The NPI Number for Amy Marie Green is 1821413758 and holds a License No. (California).
The current practice location address for Amy Marie Green is 212 I St, Davis, CA and can be reached out via phone at 530-601-5959.
Location: 212 I St, Davis, CA, 85085-7601
Provider Profile Details
NPI Number
1821413758
Provider Name
Amy Marie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
212 I St, Davis, CA, 85085-7601
Phone Number
530-601-5959
Fax Number
Provider Enumeration Date
03/01/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXX | 01 | CA | UNCERTAIN |
Provider Business Practice Location Address Details
Address
212 I St
City
State
Zip
95616-4213
Phone Number
530-601-5959
Fax Number
Provider Business Mailing Address Details
Address
212 I St
City
State
Zip
95616-4213
Phone Number
530-601-5959
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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