person
Ida Lawanda Green
Counselor in Novato, California
NPI 1841573151

Ida Lawanda Green is a Counselor based in Novato, CA. Ida Lawanda Green practices in Novato, CA. The NPI Number for Ida Lawanda Green is 1841573151 and holds a License No. ASW79071 (California).

The current practice location address for Ida Lawanda Green is 1682 Novato Blvd Ste 105, Novato, CA and can be reached out via phone at 415-454-2152.

Location: 1682 Novato Blvd Ste 105, Novato, CA, 94947-0001
person
Provider Profile Details
NPI Number
1841573151
Provider Name
Ida Lawanda Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1682 Novato Blvd Ste 105, Novato, CA, 94947-0001
Phone Number
415-454-2152
Fax Number
Provider Enumeration Date
09/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1682 Novato Blvd Ste 105
City
State
Zip
94947-0001
Phone Number
415-454-2152
Fax Number
person
Provider Business Mailing Address Details
Address
1682 Novato Blvd Ste 105
City
State
Zip
94947-0001
Phone Number
415-454-2152
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ASW79071 (California)
Definition
Definition to come...
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