Shanicka Green
NPI #1063250413 in Carlsbad, New Mexico
Provider Information
- NPI Number
- 1063250413
- Entity Type
- Individual
- Name
- Shanicka Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 1900 WESTRIDGE RD
- City
- Carlsbad
- State
- New Mexico
- ZIP Code
- 88220-3550
- Phone
- (575) 725-5552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Peer Specialist |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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