Nathanael Gideon Green
Nathanael Gideon Green is a Peer Specialist in Lake Forest, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
23072 Lake Center Dr Ste 115Lake Forest, CA 92630-2880
Phone: (949) 406-9694
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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-UCZFAE |
|---|
Record details
| NPI number | 1225923931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2025 |
| Last updated in NPPES | June 11, 2025 |
| Certification date | June 11, 2025 |
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