Individual
BEVERLY KOLOKO-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1887 MONTEREY HWY STE 205, SAN JOSE, CA 95112-6192
(408) 971-9822
Mailing address
1887 MONTEREY HWY STE 205, SAN JOSE, CA 95112-6192
(408) 971-9822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
10/11/2018
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