# KEISHA MCLEAN-GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992129266
- **Gender:** F
- **Credential:** CCS, LCAS, MAC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 12321 | NC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1828 | NC | Yes |
| 101YM0800X | Mental Health Counselor | 12321 | NC | — |
| 101YP2500X | Professional Counselor | 12321 | NC | — |
| 225C00000X | Rehabilitation Counselor | 00102070 | IL | — |

## Other

- **Enumeration date:** 02/07/2014
- **Last updated:** 07/06/2019