Green Dot Public Corperation
NPI #1720950629 in Venice, California
Provider Information
- NPI Number
- 1720950629
- Entity Type
- Organization
- Organization Name
- Green Dot Public Corperation
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Sep 19, 2025
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 820 BROADWAY ST
- City
- Venice
- State
- California
- ZIP Code
- 90291-3408
- Phone
- (310) 392-8751
Authorized Official
- Name
- MAJA LEAH STOBAUGH, LPCC 11615
- Title
- SCHOOL MENTAL HEALTH SUPERVISOR
- Phone
- (775) 813-0108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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