Green, Talia

Green, Talia is an individual health care provider with primary practice located at 133 E Swanson Ave , Wasilla AK 99654-7025. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Green, Talia can be contacted via phone (907) 864-0560.

Contact Information

Primary practice address
133 E Swanson Ave Wasilla AK 99654-7025
Fax: (907) 864-0564
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1023584596
LBN Legal business name Green, Talia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 7 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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