Individual provider · Type 1 NPI

Theadore Green, RADT-I

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1053854232 Active

Practice location

515 E 6th St
Los Angeles, CA 90021-1009

Call (213) 689-2179 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR24571214 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053854232

Theadore Green, RADT-I's National Provider Identifier is 1053854232, issued on Nov 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 21, 2016.