Individual provider · Type 1 NPI

Rebecca Ann Green, CSAC, ICS

Addiction (Substance Use Disorder) Counselor · Waupaca, WI

NPI number 1497994446 Active

Practice location

811 Harding St, Suite 1
Waupaca, WI 54981-2012

Fax (920) 734-2824

Mailing address

811 Harding Street, Suite 1
Waupaca, WI 54981-5286

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2037-132 (WI)

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

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About NPI 1497994446

Rebecca Ann Green, CSAC, ICS's National Provider Identifier is 1497994446, issued on Feb 16, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waupaca, WI. The record was last updated on Apr 18, 2017.