Individual
MS. SERENITY MADAJAH RENEE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT, AAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61361890
WA
175T00000X
Peer Specialist
Primary
CG61541361
WA
Other
Enumeration date
10/30/2023
Last updated
08/07/2024
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