SHANNON GREEN

COSTA MESA, CA
NPI1609070572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC47323)
Enumeration Date2007-06-13
Last Update Date2009-08-14
Business Address
-- SHANNON GREEN MFT
1055 EL CAMINO DR F-100
COSTA MESA, CA 92626-5574
Phone number: 714-280-6967
Mailing Address
-- SHANNON GREEN MFT
1055 EL CAMINO DR F-100
COSTA MESA, CA 92626-5574
Phone number: 714-280-6967
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