Individual
MR. J. ALEX GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC,LCADC,NCC,NBCCH
Contact information
Practice address
2115 N CHARLES ST, SUITE 200, BALTIMORE, MD 21218-5760
(410) 808-2786
(410) 715-6984
Mailing address
1700 MERIDENE DR, SUITE 611, BALTIMORE, MD 21239-2032
(410) 808-2786
(410) 715-6984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2308
MD
101YP2500X
Professional Counselor
Primary
LC2308
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014003101
—
MD
Enumeration date
07/02/2007
Last updated
05/30/2016
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