Individual provider · Type 1 NPI

Marvin Leonard Green, CADC

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1821783093 Active

Practice location

4259 S Berkeley Ave
Chicago, IL 60653-3030

Call (312) 337-1073 Map

Mailing address

1276 N Clybourn Ave
Chicago, IL 60610-2003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22756 (IL)

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

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About NPI 1821783093

Marvin Leonard Green, CADC's National Provider Identifier is 1821783093, issued on Apr 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Apr 5, 2023.