Male or Other

Mr. Michael Green LICSW

Clinical Social Worker in Bellingham, WA(View on Map)

Full Name

Mr. Michael Green LICSW

NPI Number

1336987510

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/19/2024

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW00004169

Contact
Information

Purpose

Mailing
Location

Address

3319 OREGON PL
3319 OREGON PL

City

Bellingham
Bellingham

State

WA
WA

Postal Code

98226-4332
98226-4332

Country

US
US

Telephone Number

(206) 200-6158
(206) 200-6158

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/19/2024

Provider Address

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