Individual
DWAYNE T GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5 SHAWAN RD STE 101C, HUNT VALLEY, MD 21030-1373
(443) 982-0692
(443) 982-0616
Mailing address
5 SHAWAN RD STE 101C, HUNT VALLEY, MD 21030-1373
(443) 982-0692
(443) 982-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3757
MD
101YP2500X
Professional Counselor
LC3757
MD
Other
Enumeration date
11/11/2010
Last updated
02/13/2019
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