Organization
CCFCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GREEN (FAMILY AND GROUP COUNSELOR)
(559) 781-7462
Entity
Organization
Contact information
Practice address
770 N MAIN ST, PORTERVILLE, CA 93257-2355
(559) 781-7462
Mailing address
770 N MAIN ST, PORTERVILLE, CA 93257-2355
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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