Green, Kristen W

Green, Kristen W is an sole proprietor health care provider with primary practice located at 430 Prior Street Ne , Gainesville GA 30501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Green, Kristen W can be contacted via phone (678) 971-5355.

Contact Information

Primary practice address
430 Prior Street Ne Gainesville GA 30501
Phone: (678) 971-5355
Fax: (678) 971-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 003114 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6276 Ohio

Profile Details

NPI number 1356525018
LBN Legal business name Green, Kristen W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2007
Last updated Aug 28th, 2012 - about 13 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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