# GAVIN JAMES GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588540991
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CAAR.CG.70038785 | WA | Yes |
| 101YM0800X | Mental Health Counselor | MC70146134 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 09/22/2026