RANDY DEE GREEN

TOPPENISH, WA
NPI1376088245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP-00006118)
Enumeration Date2016-12-30
Last Update Date2016-12-30
Business Address
Mr. RANDY DEE GREEN CP00006118
321 W 1ST AVE
TOPPENISH, WA 98948-1527
Phone number: 509-865-5233
Mailing Address
Mr. RANDY DEE GREEN CP00006118
321 W 1ST AVE
TOPPENISH, WA 98948-1527
Phone number: 509-865-5233