Individual provider · Type 1 NPI

Heather L. Green

Addiction (Substance Use Disorder) Counselor · Syracuse, NY

NPI number 1407492978 Active

Practice location

2112 Erie Blvd E Ste 200
Syracuse, NY 13224-1041

Call (315) 472-1212 Map

Fax (315) 472-1218

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X28998 (NY)

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

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About NPI 1407492978

Heather L. Green's National Provider Identifier is 1407492978, issued on Nov 20, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Syracuse, NY. The record was last updated on Nov 20, 2019.