Green, Johan

Green, Johan is an sole proprietor health care provider with primary practice located at 181 Crawford Road , Derby VT 05829. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Green, Johan can be contacted via phone (802) 334-6744.

Contact Information

Primary practice address
181 Crawford Road Derby VT 05829
Phone: (802) 334-6744
Fax: (802) 334-7340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18658 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0134089 Vermont

Profile Details

NPI number 1619335916
LBN Legal business name Green, Johan
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2016
Last updated Jan 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers