JERRY EUGENE GREEN

RENTON, WA
NPI1447439690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WA  RC00015663)
Enumeration Date2007-10-24
Last Update Date2019-07-12
Business Address
JERRY EUGENE GREEN M.A.
15 S GRADY WAY STE 310
RENTON, WA 98057-3215
Phone number: 425-652-1886
Mailing Address
JERRY EUGENE GREEN M.A.
7832 196TH ST SW #15
EDMONDS, WA 98026-6556
Phone number: 425-652-1886
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