Kimberly Green
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Richmond, MI
NPI 1770080038 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1770080038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 400 Stoddard Rd
Richmond, MI 48062-2505 - Phone
- (810) 392-2167
- Fax
- (810) 392-8103
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
400 Stoddard Rd
Richmond, MI 48062-2505
Mailing address
2011 8TH St
Port Huron, MI 48060-6327
Phone (810) 488-2961
Other providers in Richmond, MI
- Tonia Gott
- Kassie Gottschalk
- William Ronald Grant II
- Gary Paul Gray
- Great Lakes Internist PC
- Chelsea Ann Griebe
- Shana Jean Griffith
- Eric P Groeneveld
- Growing Smiles, PLLC
- Teresa Jean Guarino
All providers in Richmond, MI · Addiction (Substance Use Disorder) Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.