Individual
JEFFREY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPC
Contact information
Practice address
555 MERRIMACK ST, LOWELL, MA 01854-3906
(978) 454-2997
Mailing address
205 WALDEN ST, APT. 4T, CAMBRIDGE, MA 02140-3507
(617) 939-6454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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