Individual provider · Type 1 NPI

Ellen Green, CADC III, CCS

Addiction (Substance Use Disorder) Counselor · Elkhorn, WI

NPI number 1689697831 Active

Practice location

797 E Geneva St
Elkhorn, WI 53121-2303

Fax (262) 723-1556

Mailing address

285 N Janacek Rd
Brookfield, WI 53045-6102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11309 (WI)

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

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About NPI 1689697831

Ellen Green, CADC III, CCS's National Provider Identifier is 1689697831, issued on Jul 26, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkhorn, WI. The record was last updated on Jan 2, 2008.