Mary J, Phillip Green in Puyallup - Mental Health
Mary J, Phillip Green - NPI 1134339245
Mary J, Phillip Green is a Mental Health in Puyallup, Washington. Mary J, Phillip Green practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary J, Phillip Green is 1134339245. The last update date is 2012-09-18.
Mary J, Phillip Green's current location address is 10324 Canyon Rd E, Puyallup, Washington. You can contact this provider via phone number 2532671760 and fax number 2535031628. The mailing address for Mary J, Phillip Green is 10324 Canyon Rd E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J, Phillip Green |
|---|---|
| Address | 10324 Canyon Rd E, Puyallup, Washington |
| Phone Number | 2532671760 |
| Fax Number | 2535031628 |
| Sole Proprietor | Y |
| Credentials | PHD,LMHC,L |
NPI Number Detail
| NPI Number | 1134339245 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
| Address | 10324 Canyon Rd E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983731013 |
| Phone Number | 2532671760 |
| Fax Number | 2535031628 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00009327 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Mary J, Phillip Green's 1134339245?
The Mary J, Phillip Green's NPI (National Provider Identifier) Number is 1134339245. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary J, Phillip Green?
The Mary J, Phillip Green is situated at 10324 Canyon Rd E, in the city of Puyallup, state of WA, with the zip code 983731013.
What is Mary J, Phillip Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary J, Phillip Green is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
When did the Mary J, Phillip Green receive its 1134339245?
The Mary J, Phillip Green was issued its 1134339245 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mary J, Phillip Green most recently updated or revised?
The information pertaining to Mary J, Phillip Green, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-18.
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