Individual
MR. TROY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W MARCY AVE, MONTESANO, WA 98563-3618
(360) 482-2674
Mailing address
PO BOX 1034, ELMA, WA 98541-1034
(360) 482-2674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004152
WA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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