Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jacob Green III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285110460

Charles Jacob Green III is an Addiction (Substance Use Disorder) Counselor in Toledo, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
3

Practice location Address checks out

2005 Ashland Ave
Toledo, OH 43620-1703
Phone: (419) 841-7701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X · Licence S.2403902-TRNE (OH)

Record details

NPI number1285110460
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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