Green, Emily E

Green, Emily E is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Emily E can be contacted via phone (920) 674-5961.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 19778 Wisconsin
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 132496 Wisconsin

Profile Details

NPI number 1669042503
LBN Legal business name Green, Emily E
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2021
Last updated May 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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