Samantha Green
NPI #1962017822 in Issaquah, Washington
Provider Information
- NPI Number
- 1962017822
- Entity Type
- Individual
- Name
- Samantha Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 22605 SE 56TH ST STE 150
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029-5212
- Phone
- (425) 686-9509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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