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Organization

JIM GREEN COUNSELING, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES WILLIAM GREEN LCSW (PROVIDER)
(207) 941-1663
Entity
Organization

Contact information

Practice address
47 MAIN STREET, SUITE 230, BANGOR, ME 04401
(207) 941-1663
(207) 941-0077
Mailing address
47 MAIN STREET, SUITE 230, BANGOR, ME 04401
(207) 941-1663
(207) 941-0077

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC5061
ME

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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