NPI Profile for JOANNE GREENE in EAGLE RIVER, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X |
| NPI # | 1205488145 |
|
| Status | Active | |
| Credentials | BS | |
| Entity | Individual | |
| Enumeration date | 07/11/2019 | |
| Last updated | 07/30/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JOANNE GREENE
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