Individual
AINA MALIKA VERONICA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
9929 REA RD STE 201, WAXHAW, NC 28173-6439
(704) 316-1650
(704) 316-1651
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7849
NC
101YP2500X
Professional Counselor
7849
NC
Other
Enumeration date
04/11/2010
Last updated
11/24/2023
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