ANDRE GREEN RADT
NPI 1700460532
Counselor - Addiction (Substance Use Disorder) in Woodland Hills, CA
Active since May 07, 2021
About Andre Green Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE GREEN RADT (NPI 1700460532) is an individual addiction (substance use disorder) provider in Woodland Hills, California, licensed in California (R1415510121) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1700460532
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDRE GREENCredential: RADT
Location Address6022 VARIEL AVEWoodland Hills, CA 91367-3719
Mailing Address6022 Variel AveWoodland Hills, CA 91367-3719 · (818) 996-1051
Phone(818) 996-1051
Sole ProprietorNo
Enumeration DateMay 7, 2021
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1700460532 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1415510121
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License R1415510121 (CA)
6022 VARIEL AVE, Woodland Hills, CA 91367
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
6022 VARIEL AVE
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
Clinic/Center (Rehabilitation, Substance Use Disorder)
6022 VARIEL AVE
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
Student in an Organized Health Care Education/Training Program
6022 VARIEL AVE
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700460532, enumerated as an "individual" on May 07, 2021.
The provider is located at 6022 VARIEL AVE WOODLAND HILLS, CA 91367 and the phone number is (818) 996-1051.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).