Kim Green | |
217 W Albemarle Ave Lansdowne PA 19050-1126 | |
(610) 931-3650 | |
Not Available |
Full Name | Kim Green |
---|---|
Speciality | Counselor - Professional |
Location | 217 W Albemarle Ave, Lansdowne, Pennsylvania |
Authorized Official Name and Position | Kimberly Green (LPC/ THERAPIST) |
Authorized Official Contact | 6109313650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kim Green 4012 Brunswick Ave Drexel Hill PA 19026-3406 Ph: (610) 931-3650 | Kim Green 217 W Albemarle Ave Lansdowne PA 19050-1126 Ph: (610) 931-3650 |
NPI Number | 1811514169 |
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Provider Enumeration Date | 07/02/2020 |
Last Update Date | 07/02/2020 |
Certification Date | 07/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811514169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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