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NPI Code Detail

MEDICARE: CRAIG GREEN

MEDICARE: CRAIG GREEN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1326610973
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG GREEN
Provider Business Mailing Address
First Line : 3520 E SHIELDS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-6923
Country : US
Telephone Number : 559-538-1727
Fax Number :
Provider Business Practice Location Address
First Line : 4041 PLAZA DR W
Second Line :
City : FRESNO
State : CA
Zip : 93702-1342
Country : US
Telephone Number : 559-538-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 02/27/2023

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Directions to “ CRAIG GREEN ” Practice Location

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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.

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