Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ida Lawanda Green

Individual provider Mental Health Counselor · NPI 1841573151

Ida Lawanda Green is a Mental Health Counselor in Novato, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1682 Novato Blvd Ste 105
Novato, CA 94947-0001
Phone: (415) 454-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW79071 (CA)

Record details

NPI number1841573151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2011
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

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