person
Jackie Greene, CT
Addiction (Substance Use Disorder) Counselor in Ironton, Ohio
NPI 1922644566

Jackie Greene is an Addiction (Substance Use Disorder) Counselor based in Ironton, OH and is specialized in Addiction (Substance Use Disorder). Jackie Greene practices in Ironton, OH and has the professional credentials of CT. The NPI Number for Jackie Greene is 1922644566 and holds a License No. C.1902062-TRNE (Ohio).

The current practice location address for Jackie Greene is 700 Park Ave, Ironton, OH and can be reached out via phone at 740-532-1613.

Location: 700 Park Ave, Ironton, OH, 45638-0108
person
Provider Profile Details
NPI Number
1922644566
Provider Name
Jackie Greene
Credential
CT
Provider Entity Type
Individual
Gender
Female
Address
700 Park Ave, Ironton, OH, 45638-0108
Phone Number
740-532-1613
Fax Number
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0379744 05 OH
institution
Provider Business Practice Location Address Details
Address
700 Park Ave
City
State
Zip
45638-1502
Phone Number
740-532-1613
Fax Number
person
Provider Business Mailing Address Details
Address
700 Park Ave
City
State
Zip
45638-1502
Phone Number
740-532-1613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C.1902062-TRNE (Ohio)
Definition
Definition to come...
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