Individual
JAMI A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCDC III, SWA
Contact information
Practice address
149 MERCY BLVD, MOUNT ORAB, OH 45154-0296
(937) 712-3121
(937) 712-3122
Mailing address
149 MERCY BLVD, MOUNT ORAB, OH 45154-0296
(937) 712-3121
(937) 712-3122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162696
OH
104100000X
Social Worker
259591
KY
104100000X
Social Worker
Primary
S.2411371
OH
Other
Enumeration date
05/31/2022
Last updated
09/17/2024
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