Green, Katie Lynn

Green, Katie Lynn is an individual health care provider with primary practice located at 7128 Fulton St E , Ada MI 49301-8413. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Katie Lynn can be contacted via phone (616) 825-3530.

Contact Information

Primary practice address
7128 Fulton St E Ada MI 49301-8413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801112387 Michigan

Profile Details

NPI number 1306509013
LBN Legal business name Green, Katie Lynn
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2021
Last updated Jul 31st, 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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