Individual provider · Type 1 NPI

Shanicka Green

Addiction (Substance Use Disorder) Counselor · Carlsbad, NM

NPI number 1063250413 Active

Practice location

1900 Westridge Rd
Carlsbad, NM 88220-3550

Call (575) 725-5552 Map

Mailing address

PO Box 3141
Carlsbad, NM 88221-3141

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000X1735 (NM)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB20250457 (NM)

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

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About NPI 1063250413

Shanicka Green's National Provider Identifier is 1063250413, issued on Jul 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carlsbad, NM. The record was last updated on Sep 19, 2025.