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1447972203
JUSTIN GREEN
FORT COLLINS, CO
NPI
1447972203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 2329)
Enumeration Date
2022-09-16
Last Update Date
2024-10-23
Business Address
JUSTIN GREEN MACP, ACD, LPCC
1644 S COLLEGE AVE
FORT COLLINS, CO 80525-1007
Phone number: 970-221-0999
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Mailing Address
JUSTIN GREEN MACP, ACD, LPCC
4515 HIBISCUS ST
FORT COLLINS, CO 80526-4137
Phone number: 970-460-6153
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