Individual
ANDREW GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC
Contact information
Practice address
8700 MANCHACA RD STE 601, AUSTIN, TX 78748-5377
(512) 535-3583
Mailing address
604 N BLUFF DR UNIT 120, AUSTIN, TX 78745-4555
(214) 507-5317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13850
TX
101YM0800X
Mental Health Counselor
59556
TX
1041C0700X
Clinical Social Worker
Primary
59556
TX
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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