Individual
KEITH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 W CHAPEL HILL ST, SUITE B, DURHAM, NC 27701-3076
(919) 270-3232
Mailing address
PO BOX 671, CARRBORO, NC 27510-0671
(919) 270-3232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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