Individual provider · Type 1 NPI

Joseph W. Green, LADC

Addiction (Substance Use Disorder) Counselor · New London, CT

NPI number 1780748897 Active

Practice location

165 State St, Suite 200
New London, CT 06320-6397

Fax (860) 443-4284

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000716 (CT)

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

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About NPI 1780748897

Joseph W. Green, LADC's National Provider Identifier is 1780748897, issued on Dec 21, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.