person
Mr. Marvin Leonard Green, CADC
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1821783093

Marvin Leonard Green is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Marvin Leonard Green practices in Chicago, IL and has the professional credentials of CADC. The NPI Number for Marvin Leonard Green is 1821783093 and holds a License No. 22756 (Illinois).

The current practice location address for Marvin Leonard Green is 4259 S Berkeley Ave, Chicago, IL and can be reached out via phone at 312-337-1073.

Location: 4259 S Berkeley Ave, Chicago, IL, 60610-2003
person
Provider Profile Details
NPI Number
1821783093
Provider Name
Marvin Leonard Green
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
4259 S Berkeley Ave, Chicago, IL, 60610-2003
Phone Number
312-337-1073
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4259 S Berkeley Ave
City
State
Zip
60653-3030
Phone Number
312-337-1073
Fax Number
person
Provider Business Mailing Address Details
Address
4259 S Berkeley Ave
City
State
Zip
60653-3030
Phone Number
312-337-1073
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22756 (Illinois)
Definition
Definition to come...
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