Individual provider · Type 1 NPI

Manwell Green I

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

NPI number 1265979611 Active

Practice location

4445 Burns Ave
Los Angeles, CA 90029

Call (323) 664-8940 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC9651214 (CA)

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

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About NPI 1265979611

Manwell Green I's National Provider Identifier is 1265979611, issued on Jan 24, 2017. 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 Jan 30, 2017.