Search › Michigan › 103T00000X
Jacqueline Green, MA
NPI 1598116204 · on the registry since 2016
Practice
- Address
- 30821 Barrington St
Madison Heights, MI 48071 - Phone
- (248) 965-3916
- Organisation at this address
- Healing Haven, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 5877 Livernois Rd Ste 104, Troy, MI
- 13101 Allen Rd, Southgate, MI
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
106S00000X
247200000X
103K00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan