Individual
REBECCA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
Mailing address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00174600
NJ
101YP2500X
Professional Counselor
Primary
37PC00413600
NJ
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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