Green, William Mack

Green, William Mack is an sole proprietor health care provider with primary practice located at 107 N Main St , Bountiful UT 84010-6162. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Green, William Mack can be contacted via phone (801) 244-5166.

Contact Information

Primary practice address
107 N Main St Bountiful UT 84010-6162
Phone: (801) 244-5166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4932942-6006 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4932942-3501 Utah

Profile Details

NPI number 1013246131
LBN Legal business name Green, William Mack
Credentials LCSW, LSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2009
Last updated Dec 19th, 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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