Individual
MRS. TERRY A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFTA
Contact information
Practice address
611 MAIN ST STE E, EDMONDS, WA 98020-3096
(206) 321-4850
Mailing address
611 MAIN ST STE E, EDMONDS, WA 98020-3096
(206) 321-4850
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60292466
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2011
Last updated
03/21/2018
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