Kyla Diane Green
Counselor Rehabilitation Practitioner Mental Health Counselor
1 Saint Vincents Dr
San Rafael
, California 94903-1504
Kyla Diane Green
Counselor Rehabilitation Practitioner Mental Health Counselor
1 Saint Vincents Dr
San Rafael
, California 94903-1504
(415) 507-2000
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About
Features
Specialties
- Counselor
- Mental Health Counselor
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Kyla Diane Green
- 1 Saint Vincents Dr
- San Rafael, CA
- Zip : 94903-1504
- Phone : (415) 507-2000
Second Address
- Kyla Diane Green
- 1 Saint Vincents Dr
- San Rafael, CA
- Zip : 94903-1504
- Phone : (415) 507-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1023601580 |
|---|---|
| Provider Name | Kyla Diane Green |
| First Address | San Rafael, CA 94903-1504 |
| Second Address | San Rafael, CA 94903-1504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2021 |
| Last Update Date | 11/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.