Individual
CANDACE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
6460 HARRISON AVE, CINCINNATI, OH 45247-7957
(513) 941-4999
Mailing address
6460 HARRISON AVE, CINCINNATI, OH 45247-7957
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171622
OH
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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