Johan Green, LADC
Counselor, Addiction (Substance Use Disorder) in Williamstown, Vermont
1619335916- Practice location
- 1135 Falls Bridge RD, Williamstown, VT 05679-4438
- Phone
- 603-593-2444
- Fax
- —
- Last updated
- August 16, 2024
Johan Green is a Counselor, Addiction (Substance Use Disorder) based in Williamstown, VT. Johan Green practices in Williamstown, VT and has the professional credentials of LADC. The NPI Number for Johan Green is 1619335916 and holds a License No. 18658 (MA). The current practice location address for Johan Green is 1135 Falls Bridge RD, Williamstown, VT 05679-4438 and can be reached out via phone at 603-593-2444.
Provider Profile Details
- NPI Number
- 1619335916
- Provider Name
- Johan Green
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1135 Falls Bridge RD, Williamstown, VT 05679-4438
- Phone Number
- 603-593-2444
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 2, 2016
- Last Update Date
- August 16, 2024
- Certification Date
- August 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1135 Falls Bridge RD
Williamstown, VT 05679-4438 - City
- Williamstown
- State
- Vermont
- Zip
- 05679-4438
- Phone Number
- 603-593-2444
Provider Business Mailing Address Details
- Address
- 1135 Falls Bridge RD
Williamstown, VT 05679-4438 - City
- Williamstown
- State
- VT
- Zip
- 05679-4438
- Phone Number
- 603-593-2444
License Information
- License Number
- 18658
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Johan Green, LADC?
The NPI number of Johan Green, LADC is 1619335916. It was assigned on February 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Johan Green, LADC?
Johan Green, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 18658.
Where does Johan Green, LADC practice?
The practice location is 1135 Falls Bridge RD, Williamstown, VT 05679-4438. The office can be reached at 603-593-2444 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619335916 directly on the NPPES registry website.