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Contact Information

WILLIE L GREENE SR, M.A., M.C.J.
1901 S 1ST STREET
TEMPLE, TX76504
 Phone: 254-743-2920
 Fax: 254-743-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for WILLIE L GREENE SR · (Male)

NPI # 1083700082
Status Active
Credentials M.A., M.C.J.
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 4241
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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