Individual
MR. WILLIE LEE GREENE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.C.J.
Contact information
Practice address
1901 S 1ST STREET, TEMPLE, TX 76504
(254) 743-2920
(254) 743-0495
Mailing address
5207 WHISTLE STOP DRIVE, TEMPLE, TX 76502-7675
(254) 899-2702
(254) 743-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4241
TX
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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