Individual
VASHONDA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 CHANTRY DR, COLUMBUS, OH 43232-4764
(614) 604-8573
Mailing address
5875 CHANTRY DR, COLUMBUS, OH 43232-4764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
07/22/2024
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