Individual
KAYLA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, LADC I
Contact information
Practice address
66 MAIN ST, TAUNTON, MA 02780-2777
(774) 504-5015
Mailing address
66 MAIN ST, TAUNTON, MA 02780-2777
(540) 405-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22381
MA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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