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Organization
GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION
Active
Organization
GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES MCCOLLUM (PRACTICE MANAGER)
(925) 386-6037
Entity
Organization
Contact information
Practice address
302 VILLAGE SQ, ORINDA, CA 94563-2506
(925) 386-6037
Mailing address
302 VILLAGE SQ, ORINDA, CA 94563-2506
(925) 386-6037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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