Individual provider · Type 1 NPI

Angela Green

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1174654693 Active

Practice location

18609 W 7 Mile Rd
Detroit, MI 48219-2702

Fax (313) 532-2773

Mailing address

16175 W Parkway St
Detroit, MI 48219-3733

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1174654693

Angela Green's National Provider Identifier is 1174654693, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.