Individual
JODY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SUNRISE AVE STE 200-201, ROSEVILLE, CA 95661-4567
(916) 782-3737
Mailing address
730 SUNRISE AVE STE 200-201, ROSEVILLE, CA 95661-4567
(916) 782-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16-17081
NV
101YP2500X
Professional Counselor
Primary
8023
CA
Other
Enumeration date
06/20/2016
Last updated
04/09/2021
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