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Theadore Green, RADT-I
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1053854232

Theadore Green is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Theadore Green practices in Los Angeles, CA and has the professional credentials of RADT-I. The NPI Number for Theadore Green is 1053854232 and holds a License No. R24571214 (California).

The current practice location address for Theadore Green is 515 E 6Th St, Los Angeles, CA and can be reached out via phone at 213-689-2179.

Location: 515 E 6Th St, Los Angeles, CA, 90021-1009
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Provider Profile Details
NPI Number
1053854232
Provider Name
Theadore Green
Credential
RADT-I
Provider Entity Type
Individual
Gender
Male
Address
515 E 6Th St, Los Angeles, CA, 90021-1009
Phone Number
213-689-2179
Fax Number
Provider Enumeration Date
11/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 E 6Th St
City
State
Zip
90021-1009
Phone Number
213-689-2179
Fax Number
person
Provider Business Mailing Address Details
Address
515 E 6Th St
City
State
Zip
90021-1009
Phone Number
213-689-2179
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R24571214 (California)
Definition
Definition to come...
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