Organization
GREEN LIGHT COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WILLIAM STRACK LPC (CEO OWNER)
(336) 335-0585
Entity
Organization
Contact information
Practice address
415 N EDGEWORTH ST, # 205, GREENSBORO, NC 27401-2071
(336) 335-0585
(336) 335-5710
Mailing address
PO BOX 2141, JAMESTOWN, NC 27282-8800
(336) 335-0585
(336) 335-5710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5149
NC
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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