Green, Kevin M

Green, Kevin M is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Green, Kevin M can be contacted via phone (208) 359-4840.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 359-4840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 50020653902 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-6350 Idaho

Profile Details

NPI number 1649605965
LBN Legal business name Green, Kevin M
Credentials PHD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2013
Last updated Nov 18th, 2021 - about 4 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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