Individual provider · Type 1 NPI
Johan Green, LADC
Addiction (Substance Use Disorder) Counselor · Williamstown, VT
NPI number
1619335916
Active
Practice location
1135 Falls Bridge Rd
Williamstown, VT 05679-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18658 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1619335916
Johan Green, LADC's National Provider Identifier is 1619335916, issued on Feb 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamstown, VT. The record was last updated on Aug 16, 2024.