Individual
BRETT ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1319 FLORENCEDALE AVE, YOUNGSTOWN, OH 44505-2719
(330) 743-4673
Mailing address
468 PRESIDENTIAL CT, YOUNGSTOWN, OH 44512-4771
(724) 513-1270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168791
OH
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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