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Stacy Green

NPI 1447346911 · on the registry since 2006

Practice

Address
714 West Main St.
Grass Valley, CA 95945
Phone
(530) 477-9800
Fax
(530) 477-9803
Organisation at this address
Charis Youth Center
Emq Children & Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
384

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
104100000X
104100000X
Licence states on file
NULL, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-23
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California