Individual
BRENESHIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
Mailing address
747 WHITTAKER PKWY, ORANGEBURG, SC 29115-6246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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