Green, Jody

Green, Jody is an individual health care provider with primary practice located at 730 Sunrise Ave Ste 200-201 , Roseville CA 95661-4567. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Green, Jody can be contacted via phone (916) 782-3737.

Contact Information

Primary practice address
730 Sunrise Ave Ste 200-201 Roseville CA 95661-4567
Phone: (916) 782-3737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16-17081 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X 8023 California

Profile Details

NPI number 1346690476
LBN Legal business name Green, Jody
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Apr 9th, 2021 - about 3 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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