Individual provider · Type 1 NPI

Dexter Green, MCAP, CCJAP, ICRCADC

Addiction (Substance Use Disorder) Counselor · Miami Lakes, FL

NPI number 1285189118 Active

Practice location

15485 Eagle Nest Ln, Suite 210
Miami Lakes, FL 33014-2247

Mailing address

2901 Cleveland St
Hollywood, FL 33020-2930

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADC-010386-2015 (FL)

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

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About NPI 1285189118

Dexter Green, MCAP, CCJAP, ICRCADC's National Provider Identifier is 1285189118, issued on Aug 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Miami Lakes, FL. The record was last updated on Aug 21, 2016.