Individual
MR. RANDY DEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP00006118
Contact information
Practice address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 865-5233
(509) 865-6505
Mailing address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 865-5233
(509) 865-6505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP-00006118
WA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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