Kathryn Rose Green, SUDCC10771
Kathryn Rose Green, SUDCC10771 is an Addiction (Substance Use Disorder) Counselor in Van Nuys, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
9462 Van Nuys BlvdVan Nuys, CA 91402-1310
Phone: (818) 692-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 10771 (CA) |
|---|
Record details
| NPI number | 1376002501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDCC10771 |
| Sole proprietor | Yes |
| NPI enumerated | March 18, 2019 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
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