Individual
CAILYN FLORENCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CASAC
Contact information
Practice address
55 MOHAWK ST, COHOES, NY 12047-2600
(518) 235-2024
Mailing address
22 SCHUYLER RD, LOUDONVILLE, NY 12211-1458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27666
NY
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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