Individual
MATTHEW GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
(M.S.)
Contact information
Practice address
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308
(623) 638-0138
Mailing address
12587 W GENTLE RAIN RD, PEORIA, AZ 85383-7226
(530) 209-2142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
09/30/2020
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