Individual
JACQUELINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(347) 609-9918
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61483512
WA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/12/2019
Last updated
11/29/2023
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