Jacques Green, LMSW

NPI 1841482791 · on the registry since 2007 · sole proprietor

Practice

Address: 359 Division Ave S
Grand Rapids, MI 49503
Phone: (616) 685-3800
Organisation at this address: Mc Cares, Llc
St Mary'S Hlth Svcs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-05-03

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