| Doctor Name: | RODNEY ROY GREEN |
| NPI Number: | 1194815605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LMFT |
| License Number: | LCS4680 |
| Business Practice Address: | 1860 Walnut St Suite A Red Bluff, CA - 960803611 |
| Business Phone Number: | 5305275631 |
| Business Fax Number: | 5305270240 |
| Mailing Address: | Po Box 400, RED BLUFF |
| State: | CA |
| Postal Code: | 960800400 |
| Phone Number: | 5305275631 |
| Fax Number: | 5305270240 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS4680 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |