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Provider Information for 1154429603

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. ANNE L GREEN CASAC

Gender: FEMALE

Individual NPI: 1154429603

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1154429603
Enumeration Date 2006-09-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 7714 NUMBER THREE RD
LOWVILLE, NY 13367-3521
United States

Phone: 315-376-5958 | Fax: 315-376-5953
View Map External Link
Primary Practice Address 7714 NUMBER THREE RD
LOWVILLE, NY 13367-3521
United States

Phone: 315-376-5958 | Fax: 315-376-5953
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101YA0400X - Counselor Addiction (Substance Use Disorder) NY 6678