Most Relevant Information
Provider Data
| NPI Number: | 1003539503 |
| Provider Name: | DOUGLAS JAMES GREEN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YS0200X |
| Specialty: | Counselor |
| License Number: | 071 |
Most Important Dates
| Enumeration Date: | 09/21/2022 |
| Last Updated: | 09/21/2022 |
Provider Practice Location
555 WINDSOR ST
HARTFORD
CT
061202418
Practice Location Phone/Fax
| Phone: | 8605605600 |
| Fax: |
Provider Mailing Location
555 WINDSOR ST
HARTFORD
CT
061202418
Provider Mailing Phone/Fax
| Phone: | 8605605600 |
| Fax: |