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Individual

MR. JAMES AL GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCS, LCAS

Contact information

Practice address
1615 POLO RD, WINSTON SALEM, NC 27106-3859
(336) 722-7266
(336) 201-0538
Mailing address
1615 POLO RD, WINSTON SALEM, NC 27106-3859
(336) 722-7266
(336) 201-0538

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
237
NC

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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