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Individual
FAYE GREEN
Active
Individual
FAYE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAC CCGC CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
863
LA
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
08/23/2006
Last updated
06/05/2018
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