Individual
CRAIG GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4041 PLAZA DR W, FRESNO, CA 93702-1342
(559) 538-1230
Mailing address
3520 E SHIELDS AVE, FRESNO, CA 93726-6923
(559) 538-1727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
02/27/2023
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