Individual provider · Type 1 NPI
Charles Green
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1003734153
Active
Practice location
4017 42nd St
San Diego, CA 92105-1506
Mailing address
1919 Ensenada St
Lemon Grove, CA 91945-3739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20279 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1003734153
Charles Green's National Provider Identifier is 1003734153, issued on Jul 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 7, 2026.