Dewayne C Green

NPI #1801395496 in Elyria, Ohio

Provider Information

NPI Number: 1801395496
Entity Type: Individual
Name: Dewayne C Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 8, 2018
Last Updated: Oct 7, 2025

Practice Location

Address: 41641 N RIDGE RD STE B
City: Elyria
State: Ohio
ZIP Code: 44035-1264
Phone: (440) 324-7406

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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