Doctor Name: | DR. KEVIN M GREEN |
NPI Number: | 1649605965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, MS |
License Number: | 50020653902 |
Business Practice Address: | 199 N 290 W Suite 150 Lindon, UT - 840421810 |
Business Phone Number: | 8014068994 |
Business Fax Number: | |
Mailing Address: | Po Box 845, LEHI |
State: | UT |
Postal Code: | 840430845 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/05/2013 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | 50020653902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |