Richard Paul Green III, LCDC
Counselor, Addiction (Substance Use Disorder) in San Antonio, TX. Individual provider (NPI-1).
NPI number1982208765
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1982208765
- Entity type
- Individual (NPI-1)
- Name
- Richard Paul Green III
- Credential
- LCDC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2020
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
7400 Blanco Rd Ste 126San Antonio, TX 78216-4361
Phone 210-627-4017 · Fax 210-579-6873
Mailing address
7400 Blanco Rd Ste 126San Antonio, TX 78216-4361
Phone 210-627-4017 · Fax 210-579-6873
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