Individual
DEIDRE MICHELLE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13105 21ST DR SE APT E307, EVERETT, WA 98208-7173
(425) 499-8058
Mailing address
13105 21ST DR SE APT E307, EVERETT, WA 98208-7173
(425) 499-8058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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