Individual
MARY MOREHOUSE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 YADKIN ST., STANLY REGIONAL MEDICAL CENTER, ALBEMARLE, NC 28002
(704) 874-4107
Mailing address
16131 PLESS MILL RD, STANFIELD, NC 28163-7570
(704) 485-3564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128R8
BLUE CROSS AND BLUE SHIEL
NC
Enumeration date
07/20/2006
Last updated
07/08/2007
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