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Sommer Mae Green
Addiction (Substance Use Disorder) Counselor in Lebanon, Ohio
NPI 1013523059

Sommer Mae Green is an Addiction (Substance Use Disorder) Counselor based in Lebanon, OH and is specialized in Addiction (Substance Use Disorder). Sommer Mae Green practices in Lebanon, OH. The NPI Number for Sommer Mae Green is 1013523059 and holds a License No. 173666 (Ohio).

The current practice location address for Sommer Mae Green is 4216 Hunting Hawk Dr, Lebanon, OH and can be reached out via phone at 937-403-8350.

Location: 4216 Hunting Hawk Dr, Lebanon, OH, 45036-7040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013523059
Provider Name
Sommer Mae Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
4216 Hunting Hawk Dr, Lebanon, OH, 45036-7040
Phone Number
937-403-8350
Fax Number
Provider Enumeration Date
09/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4216 Hunting Hawk Dr
City
Lebanon
State
Ohio
Zip
45036-7040
Phone Number
937-403-8350
Fax Number
person
Provider Business Mailing Address Details
Address
4216 Hunting Hawk Dr
City
Lebanon
State
Ohio
Zip
45036-7040
Phone Number
937-403-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
173666 (Ohio)
Definition
Definition to come...
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