Individual provider · Type 1 NPI

Jacqueline Greene

Addiction (Substance Use Disorder) Counselor · Chardon, OH

NPI number 1619626694 Active

Practice location

12557 Ravenwood Dr
Chardon, OH 44024-9009

Call (440) 285-3568 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.189225 (OH)

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

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About NPI 1619626694

Jacqueline Greene's National Provider Identifier is 1619626694, issued on Mar 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chardon, OH. The record was last updated on Jun 10, 2025.