Organization
MENDEZ AND GREEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GREEN LADC, CAC (OWNER)
(203) 556-4632
Entity
Organization
Contact information
Practice address
955 CONNECTICUT AVE STE 5225, BRIDGEPORT, CT 06607-1251
(203) 556-4632
Mailing address
955 CONNECTICUT AVE STE 5225, BRIDGEPORT, CT 06607-1251
(203) 556-4632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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