Individual
CLARISSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
VISTA DEL MAR 3200 MOTOR AVE, LOS ANGELES, CA 90034
(310) 836-1223
Mailing address
3200 MOTOR AVE, VISTA DEL MAR, LOS ANGELES, CA 90034
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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