Green, Michelle Ellen

Green, Michelle Ellen is an sole proprietor health care provider with primary practice located at 2550 W Clinton Ave Bldg B #134 , Fresno CA 93705-4206. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Other Service Providers / Peer Specialist is her primary health care specialty. Green, Michelle Ellen can be contacted via phone (559) 293-5441.

Contact Information

Primary practice address
2550 W Clinton Ave Bldg B #134 Fresno CA 93705-4206
Phone: (559) 293-5441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-EPOTRN California
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1205123601
LBN Legal business name Green, Michelle Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Jan 17th, 2024 - about 11 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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