person
Mr. Randy Dee Green, CP00006118
Addiction (Substance Use Disorder) Counselor in Toppenish, Washington
NPI 1376088245

Randy Dee Green is an Addiction (Substance Use Disorder) Counselor based in Toppenish, WA and is specialized in Addiction (Substance Use Disorder). Randy Dee Green practices in Toppenish, WA and has the professional credentials of CP00006118. The NPI Number for Randy Dee Green is 1376088245 and holds a License No. CP-00006118 (Washington).

The current practice location address for Randy Dee Green is 321 W 1St Ave, Toppenish, WA and can be reached out via phone at 509-865-5233 and via fax at 509-865-6505.

Location: 321 W 1St Ave, Toppenish, WA, 98948-1527
person
Provider Profile Details
NPI Number
1376088245
Provider Name
Randy Dee Green
Credential
CP00006118
Provider Entity Type
Individual
Gender
Male
Address
321 W 1St Ave, Toppenish, WA, 98948-1527
Phone Number
509-865-5233
Fax Number
509-865-6505
Provider Enumeration Date
12/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
321 W 1St Ave
City
State
Zip
98948-1527
Phone Number
509-865-5233
Fax Number
509-865-6505
person
Provider Business Mailing Address Details
Address
321 W 1St Ave
City
State
Zip
98948-1527
Phone Number
509-865-5233
Fax Number
509-865-6505
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP-00006118 (Washington)
Definition
Definition to come...
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