Individual
MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
Mailing address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61300895
WA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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