Individual
FELICIA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 SPRING ST, 306, LA MESA, CA 91941-5263
(619) 464-3664
(619) 644-1302
Mailing address
8529 PORTER HILL TER, LA MESA, CA 91941-3910
(619) 464-3664
(619) 644-1302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37422
LMFT
CA
Enumeration date
01/15/2007
Last updated
07/08/2007
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