Individual
MRS. CAROL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
17 SW FRAZER AVE, SUITE 282, PENDLETON, OR 97801-2163
(541) 276-7824
(541) 278-0353
Mailing address
17 SW FRAZER AVE, SUITE 282, PENDLETON, OR 97801-2163
(541) 276-7824
(541) 278-0353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-12-81
OR
Other
Enumeration date
02/18/2016
Last updated
03/04/2020
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