Michael Green's National Provider Identifier (NPI) Details
Michael Green, MFT
NPI: 1467589275
Enumeration Date: 2007-02-28
Last updated: 2007-07-09
Sole Proprietor: NO
Status: active
Postal Address: 1920 BLOSSOM CT, FAIRFIELD, CA
Phone: 707-330-5488
Primary Practice Address: 545 ESTUDILLO AVE, SAN LEANDRO, CA
Practice's phone: 510-352-9200