Individual provider · Type 1 NPI

Crystal Lacey Green, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1558874479 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Call (937) 813-1737 Map

Fax (937) 813-1737

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.163262 (OH)

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

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About NPI 1558874479

Crystal Lacey Green, CDCA's National Provider Identifier is 1558874479, issued on Nov 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Nov 14, 2017.