Individual provider · Type 1 NPI
Dwayne Green, PS-A
Addiction (Substance Use Disorder) Counselor · Canton, OH
NPI number
1114697679
Active
Practice location
800 Market Ave N Ste 1500B
Canton, OH 44702-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1114697679
Dwayne Green, PS-A's National Provider Identifier is 1114697679, issued on Sep 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Jul 22, 2026.