Jackie Greene, CT

NPI #1922644566 in Ironton, Ohio

Provider Information

NPI Number
1922644566
Entity Type
Individual
Name
Jackie Greene, CT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CT
Enumeration Date
Nov 19, 2019
Last Updated
Dec 2, 2019

Practice Location

Address
700 PARK AVE
State
Ohio
ZIP Code
45638-1502
Phone
(740) 532-1613

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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