Individual provider · Type 1 NPI
Peter Green, LADC
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1992347694
Active
Practice location
3400 E Lake St
Minneapolis, MN 55406-2150
Mailing address
3400 E Lake St Ste 101
Minneapolis, MN 55406-2150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Peer Specialist | 175T00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1992347694
Peter Green, LADC's National Provider Identifier is 1992347694, issued on Oct 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 17, 2025.