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Ida Green
NPI 1841573151 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1682 Novato Blvd Ste 105
Novato, CA 94947 - Phone
- (415) 454-2152
- Organisation at this address
- County Of Marin
County Of Marin
Tongbu Wellness Center,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Also registered as
- Mental Health Counselor
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-29
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