TATIANA GREEN

REGO PARK, NY
NPI1942980966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  29750)
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
TATIANA GREEN CASAC-2
6336 99TH ST
REGO PARK, NY 11374-1979
Phone number: 718-459-2558
Mailing Address
TATIANA GREEN CASAC-2
6336 99TH ST
REGO PARK, NY 11374-1979
Phone number: 718-459-2558