Individual
DESTINI ELISE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 306-8533
Mailing address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 306-8533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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