Green, Shannon
Green, Shannon is an sole proprietor health care provider with primary practice located at 1055 El Camino Dr F-100, Costa Mesa CA 92626-5574. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Green, Shannon can be contacted via phone (714) 280-6967.Contact Information
Primary practice address
1055 El Camino Dr F-100
Costa Mesa CA 92626-5574
Phone: (714) 280-6967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC47323 | California |
Profile Details
| NPI number | 1609070572 |
|---|---|
| LBN Legal business name | Green, Shannon |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Aug 14th, 2009 - about 17 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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