Mr. Dwayne Green, PS-A
Mr. Dwayne Green, PS-A is a Case Manager/Care Coordinator in Canton, Ohio. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
800 Market Ave N Ste 1500BCanton, OH 44702-2303
Phone: (234) 214-0469
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1114697679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PS-A |
| Sole proprietor | No |
| NPI enumerated | September 16, 2021 |
| Last updated in NPPES | July 22, 2026 |
| Certification date | July 22, 2026 |
| Mailing address | 800 Market Ave N Ste 1500b, Canton, OH 44702-2303 |
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