Green, Shannon
Green, Shannon is an sole proprietor health care provider with primary practice located at 1055 El Camino Dr F-100, Costa Mesa CA 92626-5574. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Green, Shannon can be contacted via phone (714) 280-6967.Contact Information
Primary practice address
1055 El Camino Dr F-100
Costa Mesa CA 92626-5574
Phone: (714) 280-6967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC47323 | California |
Profile Details
| NPI number | 1609070572 |
|---|---|
| LBN Legal business name | Green, Shannon |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Aug 14th, 2009 - about 15 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.
Popular Providers
-
Fuller, Sharon Ann
2850 Mesa Verde Dr E Suite H, Costa Mesa CA 92626-4891 -
Jacinto, Deanna Daniels
234 E. 17Th Street Suite 105A, Costa Mesa CA 92627 -
Catabas, Jennifer B
1500 Adams Ave Ste 305 , Costa Mesa CA 92626-3819 -
Roth, Felice
151 Kalmus Dr K-1, Costa Mesa CA 92626-5988 -
Wilbanks, Linda
660 Baker St 211-E, Costa Mesa CA 92626-4428 -
Powers, Ronald Dewayne
151 Kalmus Dr K1, Costa Mesa CA 92626-5988 -
Ogden, Karen
2900 Bristol St A207, Costa Mesa CA 92626-5981 -
Shahbani-Yeganeh, Mitra -
2183 Fairview Rd Ste 100 , Costa Mesa CA 92627-5671