Individual provider · Type 1 NPI
Randall J. Green
Addiction (Substance Use Disorder) Counselor · Madill, OK
NPI number
1619189990
Active
Practice location
RR 2 Box 132G
Madill, OK 73446-8445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1619189990
Randall J. Green's National Provider Identifier is 1619189990, issued on May 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madill, OK. The record was last updated on Jul 26, 2007.