Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE GREENE
Active Sole ProprietorJACQUELINE GREENE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CHARDON, Ohio. NPI 1619626694 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CHARDON, OH
Registration Details
- NPI Number
- 1619626694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2022 (4.3781577343428 yrs)
- Last Updated
- Jun 10, 2025
- License
-
CDCA.189225 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12557 RAVENWOOD DRCHARDON, OH, 440249009Browse OH providers · Browse ZIP 44024
- Phone
- 4402853568
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Case Manager
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CHARDON, OH
| Name | Credential | NPI |
|---|---|---|
| CARLA J GILENKO | PC | 1619044708 |
| SANDRA E BRUSS | — | 1093875544 |
| MR. JAMES ALEXIS KONNOFF | LCDCII | 1356872733 |
| MRS. JANE R BAGNALL | CDCA | 1366091092 |
| EDWARD J MORELL | CDCA | 1346888047 |
| SANDY VASQUEZ-GARCIA | — | 1497366827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.