Individual
CAMERON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2525 W WASHINGTON BLVD # 104, LOS ANGELES, CA 90018-1247
(831) 917-8910
Mailing address
1821 W 42ND ST, LOS ANGELES, CA 90062-1529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
93080
CA
Other
Enumeration date
07/19/2019
Last updated
11/23/2022
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