Green, Stacy L.

Green, Stacy L. is an individual health care provider with primary practice located at 714 West Main St. , Grass Valley CA 95945. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Green, Stacy L. can be contacted via phone (530) 477-9800.

Contact Information

Primary practice address
714 West Main St. Grass Valley CA 95945
Phone: (530) 477-9800
Fax: (530) 477-9803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW31786 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW16266 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW31786 California

Profile Details

NPI number 1447346911
LBN Legal business name Green, Stacy L.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 23rd, 2016 - about 9 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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