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Shelly Greene, CADC/R
Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon
NPI 1952046138

Shelly Greene is an Addiction (Substance Use Disorder) Counselor based in Grants Pass, OR and is specialized in Addiction (Substance Use Disorder). Shelly Greene practices in Grants Pass, OR and has the professional credentials of CADC/R. The NPI Number for Shelly Greene is 1952046138 and holds a License No. T-22-1562 (Oregon).

The current practice location address for Shelly Greene is 109 Ne Manzanita Ave, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 109 Ne Manzanita Ave, Grants Pass, OR, 97526-2544
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Provider Profile Details
NPI Number
1952046138
Provider Name
Shelly Greene
Credential
CADC/R
Provider Entity Type
Individual
Gender
Female
Address
109 Ne Manzanita Ave, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-22-1562 05 OR
institution
Provider Business Practice Location Address Details
Address
109 Ne Manzanita Ave
City
State
Zip
97526-1400
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
109 Ne Manzanita Ave
City
State
Zip
97526-1400
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-22-1562 (Oregon)
Definition
Definition to come...
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