Evan Green
Evan Green is a Peer Specialist in South Pasadena, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
625 Fair Oaks AveSouth Pasadena, CA 91030-2630
Phone: (626) 753-5346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (CA) |
|---|
Record details
| NPI number | 1518755107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2025 |
| Last updated in NPPES | April 25, 2025 |
| Certification date | April 25, 2025 |
| Mailing address | 11821 Hesby St, Valley Village, CA 91607-3217 |
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