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Individual
NATHAN J GREENE
Active
Individual
NATHAN J GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.176210
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180242
OH
251S00000X
Community/Behavioral Health Agency
CDCA.1762210
OH
Other
Enumeration date
08/09/2021
Last updated
04/04/2022
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