Kevin Anthony Green III
NPI #1114165941 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1114165941
- Entity Type
- Individual
- Name
- Kevin Anthony Green III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 2, 2009
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 2112 RIVERDALE STREET
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089
- Phone
- (413) 827-4345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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