Individual provider · Type 1 NPI

Demetrius Alan Greene

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1184194490 Active

Practice location

2219 Odessa Ct
Lemon Grove, CA 91945-3609

Call (619) 461-4871 Map

Fax (619) 461-4888

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

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 1184194490

Demetrius Alan Greene's National Provider Identifier is 1184194490, issued on Nov 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Nov 29, 2018.