Shakila Kashawn Green, CMII

NPI #1336669795 in Konawa, Oklahoma

Provider Information

NPI Number: 1336669795
Entity Type: Individual
Name: Shakila Kashawn Green, CMII
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CMII
Enumeration Date: Jun 26, 2017
Last Updated: Dec 10, 2021

Practice Location

Address: 14430 NS 3500
City: Konawa
State: Oklahoma
ZIP Code: 74849-4901
Phone: (580) 925-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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