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Tatiana Green, CASAC-2

Counselor, Addiction (Substance Use Disorder) in Rego Park, NY. Individual provider (NPI-1).

NPI number1942980966
StatusActive
Last updated in NPPESJul 24, 2023

Details

NPI
1942980966
Entity type
Individual (NPI-1)
Name
Tatiana Green
Credential
CASAC-2
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2023
Certification date
Jul 24, 2023
Last updated
Jul 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)29750NYYes

Practice location

6336 99th St
Rego Park, NY 11374-1979

Phone 718-459-2558

Mailing address

6336 99th St
Rego Park, NY 11374-1979

Phone 718-459-2558

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Other Addiction (Substance Use Disorder) Counselor providers in Rego Park, NY

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