REGINALD K GREEN

SAN DIEGO, CA
NPI1316634850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1488981122)
Enumeration Date2023-04-24
Last Update Date2023-04-24
Business Address
REGINALD K GREEN
2410 E ST
SAN DIEGO, CA 92102-2024
Phone number: 619-234-3346
Mailing Address
REGINALD K GREEN
2410 E ST
SAN DIEGO, CA 92102-2024
Phone number: 619-234-3346