MR. Randy Dee Green, CP00006118
NPI #1376088245 in Toppenish, Washington
Provider Information
- NPI Number
- 1376088245
- Entity Type
- Individual
- Name
- MR. Randy Dee Green, CP00006118
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CP00006118
- Enumeration Date
- Dec 30, 2016
- Last Updated
- Dec 30, 2016
Practice Location
- Address
- 321 W 1ST AVE
- City
- Toppenish
- State
- Washington
- ZIP Code
- 98948-1527
- Phone
- (509) 865-5233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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