Individual
DR. MCKENZIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
5820 DIX ST. NE, BLDG 1 STE 125, WASHINGTON, DC 20019-2001
(240) 736-5230
Mailing address
2701 NEABSCO COMMON PL APT 211, WOODBRIDGE, VA 22191-6701
(843) 855-1526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC15115
DC
101YP2500X
Professional Counselor
A9048
NC
101YP2500X
Professional Counselor
Primary
PRC15115
DC
Other
Enumeration date
10/29/2015
Last updated
09/16/2024
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