PETER GREEN

MINNEAPOLIS, MN
NPI1992347694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2019-10-14
Last Update Date2025-12-17
Business Address
PETER GREEN LADC
3400 E LAKE ST
MINNEAPOLIS, MN 55406-2150
Phone number: 651-274-0986
Mailing Address
PETER GREEN LADC
3400 E LAKE ST STE 101
MINNEAPOLIS, MN 55406-2150
Phone number: 651-274-0986
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