Brandon Michael Green
Brandon Michael Green is a Marriage and Family Therapist in Santa Ana, California. Qualified in 2021, 5 years ago. Practices with Wave Professional Clinical Counselors Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
525 Cabrillo Park Dr Ste 300Santa Ana, CA 92701-5017
Phone: (714) 953-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X (CA) |
|---|
Record details
| NPI number | 1548879422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2020 |
| Last updated in NPPES | August 3, 2020 |
| Certification date | August 3, 2020 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Wave Professional Clinical Counselors Inc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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