Individual provider · Type 1 NPI

Lydia J. Green

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1992380851 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Call (313) 833-2500 Map

Mailing address

8148 Cheyenne St
Detroit, MI 48228-2788

Specialties and licenses

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

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

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About NPI 1992380851

Lydia J. Green's National Provider Identifier is 1992380851, issued on Mar 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Mar 12, 2021.