person
Dexter Green, MCAP,CCJAP,ICRCADC
Addiction (Substance Use Disorder) Counselor in Miami Lakes, Florida
NPI 1285189118

Dexter Green is an Addiction (Substance Use Disorder) Counselor based in Hollywood, FL and is specialized in Addiction (Substance Use Disorder). Dexter Green practices in Miami Lakes, FL and has the professional credentials of MCAP,CCJAP,ICRCADC. The NPI Number for Dexter Green is 1285189118 and holds a License No. ADC-010386-2015 (Florida).

The current practice location address for Dexter Green is 15485 Eagle Nest Ln, Miami Lakes, FL and can be reached out via phone at 973-510-3703.

Location: 15485 Eagle Nest Ln, Miami Lakes, FL, 33020-2930
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Provider Profile Details
NPI Number
1285189118
Provider Name
Dexter Green
Credential
MCAP,CCJAP,ICRCADC
Provider Entity Type
Individual
Gender
Male
Address
15485 Eagle Nest Ln, Miami Lakes, FL, 33020-2930
Phone Number
973-510-3703
Fax Number
Provider Enumeration Date
08/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ADC-005091-2014 01 FL CCJAP
803591 01 FL ICRC-ADC
ADC-010386-2015 01 FL MCAP
institution
Provider Business Practice Location Address Details
Address
15485 Eagle Nest Ln
City
State
Zip
33014-2247
Phone Number
973-510-3703
Fax Number
person
Provider Business Mailing Address Details
Address
15485 Eagle Nest Ln
City
State
Zip
33014-2247
Phone Number
973-510-3703
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ADC-010386-2015 (Florida)
Definition
Definition to come...
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