DEIDRE MICHELLE GREENE NPI 1124664172

NPI Information

  • NPI: 1124664172
  • Provider Name: DEIDRE MICHELLE GREENE
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 13105 21ST DR SE APT E307
    EVERETT, WA
    ZIP 98208
  • Phone: (425) 499-8058

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NPI Details

Deidre Michelle Greene is an addiction (substance use disorder) counselor in Everett, WA. Deidre Michelle Greene NPI is 1124664172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13105 21ST DR SE APT E307
EVERETT, WA
ZIP 98208-173
Phone: (425) 499-8058

The enumeration date for this NPI number is 11/25/2019 and was last updated on 11/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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