Search › California › 106H00000X
Shannon Green, MFT
NPI 1609070572 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1055 El Camino Dr
F-100
Costa Mesa, CA 92626 - Phone
- (714) 280-6967
- Organisation at this address
- Standup For Kids
Seacliff Hospice Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-14
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 California