Mr. Marc Jeffrey Greene
Counseling Psychologist
122 W South St
Kalamazoo
, Michigan 49007-4711
Mr. Marc Jeffrey Greene
Counseling Psychologist
122 W South St
Kalamazoo
, Michigan 49007-4711
(269) 349-5107
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mr. Marc Jeffrey Greene
- 122 W South St
- Kalamazoo, MI
- Zip : 49007-4711
- Fax : (269) 349-5107
- Phone : (269) 349-4219
Second Address
- Mr. Marc Jeffrey Greene
- 122 W South St
- Kalamazoo, MI
- Zip : 49007-4711
- Fax : (269) 349-5107
- Phone : (269) 349-4219
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 6301014621 | MI |
National Provider Identifier
| NPI | 1063721439 |
|---|---|
| Provider Name | Mr. Marc Jeffrey Greene |
| First Address | Kalamazoo, MI 49007-4711 |
| Second Address | Kalamazoo, MI 49007-4711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2010 |
| Last Update Date | 01/10/2010 |
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.