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

Mr. Manwell Green I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265979611

Mr. Manwell Green I is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

4445 Burns Ave
Los Angeles, CA 90029
Phone: (323) 664-8940
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence C9651214 (CA)

Record details

NPI number1265979611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESJanuary 30, 2017

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