Individual
VIRGIL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW/ AADC
Contact information
Practice address
850 VIRGINIA AVE, WELCH, WV 24801-2352
(304) 436-9009
Mailing address
PO BOX 71, WELCH, WV 24801-0071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-310
WV
1041C0700X
Clinical Social Worker
CP00945845
WV
1041C0700X
Clinical Social Worker
Primary
DP00945845
WV
175T00000X
Peer Specialist
19-1909
WV
Other
Enumeration date
07/01/2022
Last updated
01/30/2026
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