Individual
ANGEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12345 LAKE CITY WAY NE # 2208, SEATTLE, WA 98125-5401
(754) 265-9699
Mailing address
12345 LAKE CITY WAY NE # 2208, SEATTLE, WA 98125-5401
(754) 265-9699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC70016047
WA
Other
Enumeration date
06/29/2024
Last updated
11/20/2025
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