Individual
ANGELA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
199 SPOTNAP RD STE 6A, CHARLOTTESVILLE, VA 22911-8827
(434) 414-1855
Mailing address
199 SPOTNAP RD STE 6A, CHARLOTTESVILLE, VA 22911-8827
(434) 414-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701007474
VA
101YM0800X
Mental Health Counselor
0701007474
VA
101YP2500X
Professional Counselor
Primary
0701007474
VA
Other
Enumeration date
01/31/2018
Last updated
04/04/2019
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