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

Michelle Ellen Green

Individual provider Peer Specialist · NPI 1205123601

Michelle Ellen Green is a Peer Specialist in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
6
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Practice location Address checks out

2550 W Clinton Ave Bldg B #134
Fresno, CA 93705-4206
Phone: (559) 293-5441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-EPOTRN (CA)
Peer Specialist Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X (CA)
Behavior Analyst Taxonomy 103K00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1205123601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2011
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address2550 W Clinton Ave Bldg B #134, Fresno, CA 93705-4206

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