Individual
JOHAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1135 FALLS BRIDGE RD, WILLIAMSTOWN, VT 05679-4438
(603) 593-2444
Mailing address
1135 FALLS BRIDGE RD, WILLIAMSTOWN, VT 05679-4438
(603) 593-2444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18658
MA
Other
Enumeration date
02/02/2016
Last updated
08/16/2024
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