Green, Andre

Green, Andre is an individual health care provider with primary practice located at 6022 Variel Ave , Woodland Hills CA 91367-3719. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Green, Andre can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
6022 Variel Ave Woodland Hills CA 91367-3719
Phone: (818) 996-1051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X R1415510121 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1415510121 California

Profile Details

NPI number 1700460532
LBN Legal business name Green, Andre
Credentials RADT
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2021
Last updated Aug 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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