Most Relevant Information
Provider Data
| NPI Number: | 1003459611 |
| Provider Name: | ELIZABETH GREEN LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT132271 |
Most Important Dates
| Enumeration Date: | 10/26/2019 |
| Last Updated: | 08/04/2022 |
Provider Practice Location
3909 CENTRE ST
SAN DIEGO
CA
921033410
Practice Location Phone/Fax
| Phone: | 6196922077 |
| Fax: |
Provider Mailing Location
3909 CENTRE ST
SAN DIEGO
CA
921033410
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |