Green, Jacqueline

Green, Jacqueline is an individual health care provider with primary practice located at 13101 Allen Rd , Southgate MI 48195-2216. She recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Green, Jacqueline can be contacted via phone (734) 785-7700.

Contact Information

Primary practice address
13101 Allen Rd Southgate MI 48195-2216
Phone: (734) 785-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1598116204
LBN Legal business name Green, Jacqueline
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Apr 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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