MEDICARE: YOSHIKO GREEN LPC

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	07011011156	VA
2	101YP2500X	Professional Counselor	0701011156	VA

General Provider Information

NPI Number	:	1629721774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOSHIKO GREEN LPC

Provider Business Mailing Address
First Line	:	4808 HILLBROOK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2147
Country	:	US
Telephone Number	:	804-691-1949
Fax Number	:	804-597-2637

Provider Business Practice Location Address
First Line	:	4808 HILLBROOK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2147
Country	:	US
Telephone Number	:	804-691-1949
Fax Number	:	804-597-2637

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

Provider Enumeration Date	:	01/29/2022
Last Update Date	:	11/22/2024

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Directions to “ YOSHIKO GREEN LPC” Practice Location

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