Individual provider · Type 1 NPI

Phyllis Louise Green

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1790909695 Active

Practice location

8026 Lorraine Ave, Suite 201
Stockton, CA 95210-4224

Call (209) 644-6328 Map

Fax (209) 644-6308

Mailing address

4230 Giselle Ln
Stockton, CA 95206-6509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

2 other providers at this address

Other addiction (substance use disorder) counselor providers in Stockton

See all in Stockton →

About NPI 1790909695

Phyllis Louise Green's National Provider Identifier is 1790909695, issued on Apr 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.