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Individual

CHRISTINA MICHELLE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
122 W FRONT ST, PERRYSBURG, OH 43551-1467
(567) 318-4447
Mailing address
553 INDIAN RIDGE TRL, ROSSFORD, OH 43460-1538
(567) 318-4447

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162228
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.081118
OH

Other

Enumeration date
03/16/2007
Last updated
05/18/2025
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