Individual
ANGELA D GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, CPRS, CDCA
Contact information
Practice address
4000 E BROAD ST, COLUMBUS, OH 43213-1140
(614) 778-3367
Mailing address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1465
(614) 717-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCAPRE.195290
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
03/03/2026
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