Shannon Green in Costa Mesa - Marriage & Family Therapist
Shannon Green - NPI 1609070572
Shannon Green is a Marriage & Family Therapist in Costa Mesa, California. Shannon Green practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Shannon Green is 1609070572. The last update date is 2009-08-14.
Shannon Green's current location address is 1055 El Camino Dr, Costa Mesa, California. You can contact this provider via phone number 7142806967. The mailing address for Shannon Green is 1055 El Camino Dr, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Green |
|---|---|
| Address | 1055 El Camino Dr, Costa Mesa, California |
| Phone Number | 7142806967 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1609070572 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2009-08-14 |
Provider Mailing Address Detail
| Address | 1055 El Camino Dr |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926265574 |
| Phone Number | 7142806967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC47323 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code assigned to Shannon Green by the Centers for Medicare & Medicaid Services?
The Shannon Green has been issued the NPI (National Provider Identifier) 1609070572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shannon Green is physically located?
The Shannon Green is physically situated at the following address: 1055 El Camino Dr, Costa Mesa, CA, 926265574.
What is Shannon Green's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Green's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609070572 to Shannon Green?
The Shannon Green received its 1609070572 assignment from the Centers for Medicare & Medicaid Services on 2007-06-13.
As of what date were the details related to Shannon Green most recently updated or revised?
The information pertaining to Shannon Green, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-14.