Green, Kathryn T.

Green, Kathryn T. is an sole proprietor health care provider with primary practice located at 2127 S Herron Dr , Nampa ID 83686-5342. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Green, Kathryn T. can be contacted via phone (208) 342-8347.

Contact Information

Primary practice address
2127 S Herron Dr Nampa ID 83686-5342
Phone: (208) 342-8347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 124 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-124 Idaho

Profile Details

NPI number 1376669804
LBN Legal business name Green, Kathryn T.
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 12th, 2024 - about 9 months 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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