Individual
AUSTIN RAY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 CHILLICOTHE AVE, HILLSBORO, OH 45133-7378
(937) 393-4562
Mailing address
415 EASTERN AVE APT I, LEESBURG, OH 45135-9774
(937) 876-9596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AOD-101YA0400X
—
OH
05
—
BH-101YM0800X
—
OH
Enumeration date
04/14/2023
Last updated
04/14/2023
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