Individual provider · Type 1 NPI
Marva Renee Green
Addiction (Substance Use Disorder) Counselor · Compton, CA
NPI number
1639495898
Active
Practice location
1315 N Bullis Rd, Suite 12
Compton, CA 90221-1650
Fax (310) 609-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CACOM21435042411A (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639495898
Marva Renee Green's National Provider Identifier is 1639495898, issued on Apr 13, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Compton, CA. The record was last updated on Apr 13, 2010.