Individual
ASHLEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BODIN CIRCLE, FAIRFIELD, CA 95687
(707) 423-5174
Mailing address
3501 HARBISON DR, VACAVILLE, CA 95687-3930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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