person
Ellen Green, CADCIII,CCS
Addiction (Substance Use Disorder) Counselor in Elkhorn, Wisconsin
NPI 1689697831

Ellen Green is an Addiction (Substance Use Disorder) Counselor based in Brookfield, WI and is specialized in Addiction (Substance Use Disorder). Ellen Green practices in Elkhorn, WI and has the professional credentials of CADCIII,CCS. The NPI Number for Ellen Green is 1689697831 and holds a License No. 11309 (Wisconsin).

The current practice location address for Ellen Green is 797 E Geneva St, Elkhorn, WI and can be reached out via phone at 262-723-1455 and via fax at 262-723-1556.

Location: 797 E Geneva St, Elkhorn, WI, 53045-6102
person
Provider Profile Details
NPI Number
1689697831
Provider Name
Ellen Green
Credential
CADCIII,CCS
Provider Entity Type
Individual
Gender
Female
Address
797 E Geneva St, Elkhorn, WI, 53045-6102
Phone Number
262-723-1455
Fax Number
262-723-1556
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39384200 05 WI
institution
Provider Business Practice Location Address Details
Address
797 E Geneva St
City
State
Zip
53121-2303
Phone Number
262-723-1455
Fax Number
262-723-1556
person
Provider Business Mailing Address Details
Address
797 E Geneva St
City
State
Zip
53121-2303
Phone Number
262-723-1455
Fax Number
262-723-1556
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11309 (Wisconsin)
Definition
Definition to come...
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