Individual
MR. JAMES MATTHEW GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1801 E 5TH ST, SUITE 108-B, CHARLOTTE, NC 28204-2472
(704) 375-2822
Mailing address
1801 E 5TH ST, SUITE 108-B, CHARLOTTE, NC 28204-2472
(704) 375-2822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
862
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37036
BCBS
NC
Enumeration date
12/06/2005
Last updated
11/27/2007
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