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Corey Matthew Green, PEERSUPPORTER
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1306512132

Corey Matthew Green is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Corey Matthew Green practices in Columbus, OH and has the professional credentials of PEERSUPPORTER. The NPI Number for Corey Matthew Green is 1306512132 and holds a License No. 0002753 (Ohio).

The current practice location address for Corey Matthew Green is 1034 Harrisburg Pike, Columbus, OH and can be reached out via phone at 614-276-4840.

Location: 1034 Harrisburg Pike, Columbus, OH, 43223-2525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306512132
Provider Name
Corey Matthew Green
Credential
PEERSUPPORTER
Provider Entity Type
Individual
Gender
Male
Address
1034 Harrisburg Pike, Columbus, OH, 43223-2525
Phone Number
614-276-4840
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1034 Harrisburg Pike
City
Columbus
State
Ohio
Zip
43223-2525
Phone Number
614-276-4840
Fax Number
person
Provider Business Mailing Address Details
Address
1034 Harrisburg Pike
City
Columbus
State
Ohio
Zip
43223-2525
Phone Number
614-276-4840
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.
180368 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002753 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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