Individual provider · Type 1 NPI

Kathryn Rose Green, SUDCC #10771

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1376002501 Active

Practice location

9462 Van Nuys Blvd
Van Nuys, CA 91402-1310

Call (818) 692-4999 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10771 (CA)

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

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About NPI 1376002501

Kathryn Rose Green, SUDCC #10771's National Provider Identifier is 1376002501, issued on Mar 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Oct 4, 2024.