Individual
CONNIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA. QBHS
Contact information
Practice address
586 W MAIN ST, WILMINGTON, OH 45177-2123
(937) 599-4028
Mailing address
586 W MAIN ST, WILMINGTON, OH 45177-2123
(937) 599-4028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/31/2023
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