Andre Green, RADT is a
Counselor - Addiction (substance Use Disorder) based in Woodland Hills, California. Andre Green is licensed to practice in California (license number R1415510121) and his current practice location is
6022 Variel Ave, Woodland Hills, California. He can be reached at his office (for appointments etc.) via phone at
(818) 996-1051.
NPI number for Andre Green is 1700460532 and his current mailing address is 6022 Variel Ave, Woodland Hills, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700460532.
Healthcare Provider's Profile
Full Name | Andre Green |
---|
Gender | Male |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 6022 Variel Ave, Woodland Hills, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700460532
- Provider Enumeration Date: 05/07/2021
- Last Update Date: 08/11/2023
Medical Identifiers
Medical identifiers for Andre Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700460532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | R1415510121 (California) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1415510121 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andre Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andre Green, RADT 6022 Variel Ave, Woodland Hills, CA 91367-3719 Ph: (818) 996-1051 | Andre Green, RADT 6022 Variel Ave, Woodland Hills, CA 91367-3719 Ph: (818) 996-1051 |
Reviews and Comments