ANDRE GREEN

WOODLAND HILLS, CA
NPI1700460532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1415510121)
Additional Taxonomies103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: CA  R1415510121)
Enumeration Date2021-05-07
Last Update Date2023-08-11
Business Address
ANDRE GREEN RADT
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
Mailing Address
ANDRE GREEN RADT
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051