Andre Green, RADT

NPI 1700460532 · on the registry since 2021

Practice

Address: 6022 Variel Ave
Woodland Hills, CA 91367
Phone: (818) 996-1051
Organisation at this address: Sober College
Tarzana Treatment Centers, Inc
Sober College Environments, Llc
Tarzana Treatment Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 144

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 103TA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California