MEDICARE: JAMES GREENE MFT TRAINEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1396070694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES GREENE MFT TRAINEE

Provider Business Mailing Address
First Line	:	4660 EL CAJON BLVD
Second Line	:	SUITE 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4450
Country	:	US
Telephone Number	:	619-640-3266
Fax Number	:	619-640-3269

Provider Business Practice Location Address
First Line	:	4660 EL CAJON BLVD
Second Line	:	SUITE 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4450
Country	:	US
Telephone Number	:	619-640-3266
Fax Number	:	619-640-3269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	10/23/2009

Similar Medicare Providers

1013876119 — JANET ESMERALDA ALVARADO PMHNP
Practice Location Address:

4660 EL CAJON BLVD
SAN DIEGO, CA
92115-4450

Practice Phone: 818-947-5955
Practice Fax:

1063434546 — MRS. STEPHANIE SUZANNE GRAY M.A.
Practice Location Address:

4660 EL CAJON BLVD , SUITE 210
SAN DIEGO, CA
92115-4450

Practice Phone: 619-640-3266
Practice Fax: 619-640-3269

1174644157 — MRS. SAMRANG SUON SCHIMELPFENIG NP
Practice Location Address:

4660 EL CAJON BLVD , 212
SAN DIEGO, CA
92115-4450

Practice Phone: 619-563-4040
Practice Fax:

1891965760 — GIANA LYNNE WINSTON-RUSSELL
Practice Location Address:

4660 EL CAJON BLVD
SAN DIEGO, CA
92115-4450

Practice Phone: 619-597-7335
Practice Fax: 619-642-2735

1689905408 — KELLY FEEST BA
Practice Location Address:

4660 EL CAJON BLVD , SUITE 210
SAN DIEGO, CA
92115-4450

Practice Phone: 619-640-3266
Practice Fax: 619-640-3269

1689905713 — DIANE WASHINGTON BS
Practice Location Address:

4660 EL CAJON BLVD , SUITE 210
SAN DIEGO, CA
92115-4450

Practice Phone: 619-640-3266
Practice Fax: 619-640-3269

Directions to “ JAMES GREENE MFT TRAINEE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.